{"schema":"https://ver.cy/schemas/card/1.0.0","id":"EM-HCP-01","code":"em-hcp-01","url":"https://ver.cy/models/em-hcp-01/","name":"Patient record at a care provider","alternateNames":[],"kind":"enterprise-contour","status":"published","version":"research-checkpoint","language":"en","classifiers":{"family":"Enterprise profiles","category":"Enterprise subject","entryKind":"subject","plane":"","domain":["Enterprise","HCP"],"industry":["Healthcare provider"],"navPath":"","tags":["EM-HCP-01","W-IND","subject","PatientRecord","PatientIdentifier","IdentityMatch","RecordMerge","CareContact"],"facets":{}},"whatItIs":"The provider's record of a person as a patient: local record numbers, identity matching, contacts for care, and merge and unmerge of duplicate records. The person, legal capacity and clinical content are separate.","purpose":"Make sure every clinical record, order and document is filed against the right person, and that identity errors can be found and corrected.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["A patient record is the provider's role record of a person, not the person itself.","Identifiers always state their issuing system.","Merges can be reversed and keep the source records.","Clinical content lives in the encounter, order and document contours."],"structure":{"bundles":[{"id":"patient-identity","name":"Patient identity","description":"Who the record belongs to.","layers":[{"id":"identifiers-and-matching","name":"Identifiers and matching","description":"Identifiers, demographic matching and duplicates.","findings":[{"id":"identifiers","name":"Identifiers","description":"Identifiers with their issuing systems.","questions":[{"text":"Which identifiers does this patient record hold, and which system issued each one?","id":"identifiers-q1"},{"text":"Which demographic details were used to match this patient record?","id":"identifiers-q2"}]},{"id":"duplicates","name":"Duplicates","description":"Merges and unmerges of records.","questions":[{"text":"Which records were merged into this patient record, by whom and when?","id":"duplicates-q1"},{"text":"Was this patient record ever unmerged, and which entries were moved?","id":"duplicates-q2"}]}]}]},{"id":"contacts-and-representation","name":"Contacts and representation","description":"How the patient is reached and who may act for them.","layers":[{"id":"care-contacts","name":"Care contacts","description":"Contact details, representatives and disclosure limits.","findings":[{"id":"contacts","name":"Contacts","description":"Contact details and stated preferences.","questions":[{"text":"Which contact details are recorded for care communication, and has the patient stated preferences?","id":"contacts-q1"}]},{"id":"representatives","name":"Representatives","description":"Legal representatives, emergency contacts and restrictions.","questions":[{"text":"Who is recorded as legal representative or emergency contact of this patient, and on what basis?","id":"representatives-q1"},{"text":"Which restrictions on disclosure apply to this patient record?","id":"representatives-q2"},{"text":"Which other providers or systems share this patient's identifiers through cross-referencing?","id":"representatives-q3"}]}]}]}]},"agentConduct":{"may":["Flag probable duplicate records for review.","Check that identifiers have an issuing system.","Prepare a merge proposal with its evidence."],"mustNot":["Merge or unmerge patient records without human confirmation.","Disclose a patient's identity or contacts outside the care purpose.","Infer clinical information from identity data."],"requiresHuman":["A trained registration or data quality staff member must confirm merges and unmerges.","Changes of a legal representative require verification by staff."]},"ethics":{"considerations":["Identity errors can cause harm through wrong treatment or wrong results.","Patient identity data is sensitive and must be limited to the care purpose."],"affectedParties":["Patients","Legal representatives and relatives","Clinical and registration staff"]},"owners":{"steward":"The head of patient registration who answers for the accuracy of patient identity.","roles":[],"masterSystems":["Patient administration system","Electronic health record system","Master patient index"]},"relations":[{"target":"EM-PEO-01","type":"neighbor"},{"target":"EM-XCT-01","type":"neighbor"},{"target":"EM-LEG-06","type":"neighbor"},{"target":"EM-HCP-03","type":"neighbor"},{"target":"EM-HCP-08","type":"neighbor"},{"target":"WM-PER-001","type":"references","note":"conceptual-candidate"},{"target":"WM-PER-007","type":"references","note":"conceptual-candidate"}],"interaction":{"identity":{"applicability":"required","items":["A patient record has a local record number unique within the provider.","Other identifiers are held together with the system or authority that issued them."]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"required","items":["Records show identifiers, demographic details and care contacts of one patient.","A patient record must be distinguished from a person profile in HR or customer systems."]},"capabilities":{"applicability":"required","items":["The contour supports registration, duplicate detection, merge and unmerge, and identifier cross-referencing."]},"hazards":{"applicability":"required","items":["A wrong merge can file results or prescriptions in the wrong patient's record.","Excess identity data increases the harm from a breach."]},"interfaces":{"applicability":"optional","items":["HL7 International publishes the FHIR Patient resource for patient demographics.","IHE publishes the PIXm and PDQm profiles for patient identifier cross-referencing and demographics query."]},"context":{"applicability":"required","items":["The contour is used by hospitals, clinics, laboratories and other care providers.","The health data protection rules of each jurisdiction apply to the record."]}},"sources":[{"title":"HL7 FHIR: Patient resource"},{"title":"IHE PIX and PDQ: patient identifier cross-referencing and demographics query"},{"title":"National patient identifier and health insurance identifier practice"},{"title":"HL7 FHIR R4 Patient resource","url":"https://hl7.org/fhir/R4/patient.html","note":"Checked live (HTTP 200) on 2026-10-21."},{"title":"IHE Patient Identifier Cross-referencing for Mobile (PIXm)","url":"https://profiles.ihe.net/ITI/PIXm/","note":"Checked live (HTTP 200) on 2026-10-21."},{"title":"IHE Patient Demographics Query for Mobile (PDQm)","url":"https://profiles.ihe.net/ITI/PDQm/","note":"Checked live (HTTP 200) on 2026-10-21."}],"openQuestions":["Which identifiers are local, which are national and which belong to an insurer?","How is a merge of two patient records reversed without losing clinical history?","Which contact and representative details are needed for care and which are not?","Settle the boundary and the reuse, extend or new decision against the current specifications.","Confirm the semantic crosswalk, rights and source mastership.","Choose immutable references and run fixture checks before claiming publication readiness."],"resources":{"source":"https://ver.cy/enterprise/models/em-hcp-01/"},"provenance":{"origin":"enterprise research programme","builtFrom":["enterprise/models/em-hcp-01/brief.json","ver-cy/world-models/card-supplements/em-hcp-01.json"],"providers":[],"researchStatus":"published-partial","generatedAt":"","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"interaction.properties":"Enterprise record contour: physical properties belong to referenced world models.","_supplement":"Sections authored in card supplement 1.1.0 by Claude (Opus 5.5) (2026-10-21, unreviewed). Written from the industry contour brief and established practice in the field; source pages were checked live on 2026-10-21. Unreviewed.","_gate":"Published through the contour publication gate 1.0 on 2026-10-21T19:02:23+00:00: completeness 1.00; subject: research brief; 3 live sources; review by codex: pass"},"score":1.0}}