Profile Comparison between http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient vs http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient	http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient|6.0.0	Values Differ
copyright
description	This profile contains NHSN-specific Required and Must-Support elements for reporting Patient information on public-health surveillance measures to [NHSN](https://www.cdc.gov/nhsn/index.html). This profile is based on [US Core Patient 3.1.1](https://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-patient.html). NHSN only recognizes the data element 'sex', with male and female as the only accepted responses. These data are mapped from either the patient.extension (birthsex), or patient.gender FHIR standard data elements. These two FHIR standard data elements provide male/female options, per US Core 3.1.1. For data submitted for patient.gender, and/or patient.extension (birthsex) that do not align with male or female, NHSN will label those responses as not reported. As national standards update, this resource will also be updated.	This profile contains NHSN-specific Required and Must-Support elements for reporting Patient information on public-health surveillance measures to [NHSN](https://www.cdc.gov/nhsn/index.html). This profile inherits from the QI Core 6.0.0 [Patient](https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-patient.html) profile, which inherits from the US Core 6.1.0 [Patient](http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-patient.html) profile. NHSN only recognizes the data element “sex”, with male and female as the only accepted responses. These data are mapped from either the patient.extension (sex), patient.extension (birthsex), or patient.gender FHIR standard data elements. These three FHIR standard data elements provide male/female options, per US Core 6.1.0. For data submitted for patient.extension (sex), patient.extension (birthsex) and/or patient.gender that do not align with male or female, NHSN will label those responses as not reported. As national standards update, this resource will also be updated. Please note that patient.extension(genderIdentity) appears in the Formal Views of the Profile Content in the Key Elements Table Tab and the Snapshot Table as [0..*] and reflects the USCDI/QI Core standard. The Differential Table Tab, which represents the NHSN specific requirements, does not contain the patient.extension (genderIdentity) data element and is not part of data collection. This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	CrossMeasurePatient
publisher	CDC National Healthcare Safety Network (NHSN)
purpose
status	active
title	Cross-Measure Patient Profile
type	Patient
url	http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Patient		0..*	USCorePatientProfile	Information about an individual or animal receiving health care services	SC	1..*	QICorePatient(6.0.0)	(NHSN-MS) A patient who is the subject of the measure report. This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures. This profile also complies with the profile US Core Patient Profile (3.1.1) Constraints: patient-full-name	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
id	Σ	1..1	id	Logical id of this artifact	SΣ	1..1	id	(NHSN-MS) The logical id of the Patient resource	Elements differ in definition for mustSupport: 'false' vs 'true'
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
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	An identifier for this patient	SΣ	1..*	Identifier	(NHSN-MS)(USCDI) An identifier for this patient
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	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known .	?!SΣ	0..1	code	(NHSN-MS) The purpose of this identifier usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known .
type	SΣ	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.	SΣ	0..1	CodeableConcept	(NHSN-MS) 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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	SΣ	1..1	uri	(NHSN-MS)(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456	SΣ	1..1	string	(NHSN-MS)(USCDI) The value that is unique within the system. Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use	SΣ	0..1	Period	(NHSN-MS) 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	SΣC	1..*	HumanName	(NHSN-MS)(USCDI) A name associated with the patient
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	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name.	?!SΣ	0..1	code	(NHSN-MS)(QI-Core)(USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name	SΣ	0..1	string	(NHSN-MS) A full text representation of the name
family	SΣC	0..1	string	Family name (often called 'Surname')	SΣC	0..1	string	(NHSN-MS)(USCDI) Family name (often called 'Surname')
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	SΣC	0..*	string	(NHSN-MS)(USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name	SΣ	0..*	string	(NHSN-MS) Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name	SΣ	0..*	string	(NHSN-MS)(QI-Core)(USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	SΣ	0..1	Period	Time period when name was/is in use	SΣ	0..1	Period	(NHSN-MS)(QI-Core)(USCDI) Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual	SΣ	0..*	ContactPoint	(NHSN-MS)(QI-Core)(USCDI) 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	phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point.	SΣC	1..1	code	(NHSN-MS)(USCDI) The type of contact point phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details	SΣ	1..1	string	(NHSN-MS)(USCDI) The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required)	?!SΣ	0..1	code	(NHSN-MS)(USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required)
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)	SΣ	0..1	positiveInt	(NHSN-MS) Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use	SΣ	0..1	Period	(NHSN-MS) Time period when the contact point was/is in use
gender	SΣ	1..1	code	male | female | other | unknown Binding: ?? (required)	SΣ	1..1	code	(NHSN-MS)(USCDI)(USCDI) The administrative gender of the patient male | female | other | unknown Binding: ?? (required)
birthDate	SΣ	1..1	date	The date of birth for the individual	SΣ	1..1	date	(NHSN-MS)(QI-Core)(USCDI) The date of birth for the individual
deceased[x]	?!SΣ	0..1	boolean, dateTime	Indicates if the individual is deceased or not	?!SΣ	0..1	boolean, dateTime	(NHSN-MS)(QI-Core)(USCDI) Indicates if the individual is deceased or not
address	SΣ	0..*	Address	An address for the individual	SΣ	0..*	Address	(NHSN-MS)(QI-Core)(USCDI) An address 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
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: ?? (required): The use of an address. Example General: home	?!SΣ	0..1	code	(NHSN-MS)(QI-Core)(USCDI) home | work | temp | old | billing - purpose of this address Binding: ?? (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: ?? (required): The type of an address (physical / postal). Example General: both	SΣ	0..1	code	(NHSN-MS) postal | physical | both Binding: ?? (required): The type of an address (physical / postal). Example General: both
text	SΣ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132	SΣ	0..1	string	(NHSN-MS)(USCDI) Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
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	SΣ	0..*	string	(NHSN-MS)(USCDI) Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon	SΣ	0..1	string	(NHSN-MS)(USCDI) Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison	SΣ	0..1	string	(NHSN-MS) District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: ?? (extensible): Two Letter USPS alphabetic codes.	SΣ	0..1	string	(NHSN-MS)(USCDI) Sub-unit of country Binding: ?? (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132	SΣ	0..1	string	(NHSN-MS)(USCDI) US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)	SΣ	0..1	string	(NHSN-MS) (USCDI) Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}	SΣ	0..1	Period	(NHSN-MS)(QI-Core)(USCDI) Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
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	SC	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient	SC	0..*	BackboneElement	(NHSN-MS) 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	S	0..*	CodeableConcept	The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient.	S	0..*	CodeableConcept	(NHSN-MS) The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient.
name	S	0..1	HumanName	A name associated with the contact person	S	0..1	HumanName	(NHSN-MS) A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person	S	0..*	ContactPoint	(NHSN-MS) A contact detail for the contact person	Elements differ in definition for mustSupport: 'false' vs 'true'
address	S	0..1	Address	Address for the contact person	S	0..1	Address	(NHSN-MS) 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	S	0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient	S	0..1	Period	(NHSN-MS) The period during which this contact person or organization is valid to be contacted relating to this patient
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health	S	0..*	BackboneElement	(NHSN-MS)(QI-Core)(USCDI) 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)	S	1..1	CodeableConcept	(NHSN-MS)(USCDI) The language which can be used to communicate with the patient about his or her health Binding: ?? (extensible)
preferred	S	0..1	boolean	Language preference indicator	S	0..1	boolean	(NHSN-MS)(USCDI) 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	?!SΣ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person	?!SΣ	0..*	BackboneElement	(NHSN-MS) 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	SΣ	1..1	Reference(QICore Patient) {b}	(NHSN-MS) The other patient or related person resource that the link refers to	Elements differ in definition for mustSupport: 'false' vs 'true'
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
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL	Elements differ in definition for mustSupport: 'false' vs 'true'
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource.	SΣ	1..1	code	(NHSN-MS) The type of link between this patient resource and another patient resource replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource.	Elements differ in definition for mustSupport: 'false' vs 'true'
Documentation for this format