Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage

Left:US Core Coverage Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage)
Right:US Core Coverage Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage)

Messages

ErrorStructureDefinition.versionValues for version differ: '6.1.0' vs '7.0.0'
InformationStructureDefinition.dateValues for date differ: '2022-09-24' vs '2023-10-17'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Member ID and other identifiers' vs 'Member ID and other identifiers'
InformationStructureDefinition.shortValues for short differ: '(USCDI) active | cancelled | draft | entered-in-error' vs 'active | cancelled | draft | entered-in-error'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Coverage category such as medical or accident' vs 'Coverage category such as medical or accident'
InformationStructureDefinition.shortValues for short differ: '(USCDI) ID assigned to the subscriber' vs 'ID assigned to the subscriber'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Plan beneficiary' vs 'Plan beneficiary'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Beneficiary relationship to the subscriber' vs 'Beneficiary relationship to the subscriber'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Coverage start and end dates' vs 'Coverage start and end dates'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Issuer of the policy' vs 'Issuer of the policy'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Additional coverage classifications' vs 'Additional coverage classifications'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Coverage
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
        .date2022-09-242023-10-17
        • Values Differ
        .descriptionThe US Core Coverage Profile is based upon the core FHIR Coverage Resource and implements the US Core Data for Interoperability (USCDI) v3 Health Insurance Information requirements. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Coverage resource to record, search, and fetch the "data related to an individual's insurance coverage for health care". 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.The US Core Coverage Profile inherits from the FHIR [Coverage](https://hl7.org/fhir/R4/coverage.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the US Core Data for Interoperability (USCDI) *Health Insurance Information* Data Class. It sets minimum expectations for the Coverage resource to record, search, and fetch data related to an individual's insurance coverage for health care. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
        • Values Differ
        .experimentalfalse
          .fhirVersion4.0.1
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
                .kindresource
                  .nameUSCoreCoverageProfile
                    .publisherHL7 International - Cross-Group ProjectsHL7 International / Cross-Group Projects
                    • Values Differ
                    .purpose
                      .statusactive
                        .titleUS Core Coverage Profile
                          .typeCoverage
                            .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage
                              .version6.1.07.0.0
                              • Values Differ

                              Structure

                              NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                              .. Coverage C0..*CoverageInsurance or medical plan or a payment agreement
                              us-core-15: Member Id in Coverage.identifier or Coverage.subscriberId SHALL be present
                              C0..*CoverageInsurance or medical plan or a payment agreement
                              us-core-15: Member Id in Coverage.identifier or Coverage.subscriberId SHALL be present
                                ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                  ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                    ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                      ... language 0..1codeLanguage of the resource content
                                      Binding: ?? (preferred): A human language.

                                      Additional BindingsPurpose
                                      ??Max Binding
                                      0..1codeLanguage of the resource content
                                      Binding: ?? (preferred): A human language.

                                      Additional BindingsPurpose
                                      ??Max Binding
                                        ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                          ... contained 0..*ResourceContained, inline Resources
                                          0..*ResourceContained, inline Resources
                                            ... extension 0..*ExtensionAdditional content defined by implementations
                                            0..*ExtensionAdditional content defined by implementations
                                              ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                              ?!0..*ExtensionExtensions that cannot be ignored
                                                ... Slices for identifier SΣ0..*Identifier(USCDI) Member ID and other identifiers
                                                Slice: Unordered, Open by pattern:type
                                                SΣ0..*IdentifierMember ID and other identifiers
                                                Slice: Unordered, Open by pattern:type
                                                  ... status ?!SΣ1..1code(USCDI) active | cancelled | draft | entered-in-error
                                                  Binding: ?? (required): A code specifying the state of the resource instance.

                                                  ?!SΣ1..1codeactive | cancelled | draft | entered-in-error
                                                  Binding: ?? (required): A code specifying the state of the resource instance.

                                                    ... type SΣ0..1CodeableConcept(USCDI) Coverage category such as medical or accident
                                                    Binding: ?? (extensible): US Public Health Data Consortium Source of Payment Codes

                                                    SΣ0..1CodeableConceptCoverage category such as medical or accident
                                                    Binding: ?? (extensible): US Public Health Data Consortium Source of Payment Codes

                                                      ... policyHolder Σ0..1Reference(Patient | RelatedPerson | Organization)Owner of the policyΣ0..1Reference(Patient | RelatedPerson | Organization)Owner of the policy
                                                        ... subscriber Σ0..1Reference(Patient | RelatedPerson)Subscriber to the policyΣ0..1Reference(Patient | RelatedPerson)Subscriber to the policy
                                                          ... subscriberId SΣC0..1string(USCDI) ID assigned to the subscriberSΣC0..1stringID assigned to the subscriber
                                                            ... beneficiary SΣ1..1Reference(US Core Patient Profile)(USCDI) Plan beneficiarySΣ1..1Reference(US Core Patient Profile)Plan beneficiary
                                                              ... dependent Σ0..1stringDependent numberΣ0..1stringDependent number
                                                                ... relationship S1..1CodeableConcept(USCDI) Beneficiary relationship to the subscriber
                                                                Binding: ?? (extensible)
                                                                S1..1CodeableConceptBeneficiary relationship to the subscriber
                                                                Binding: ?? (extensible)
                                                                  ... period SΣ0..1Period(USCDI) Coverage start and end datesSΣ0..1PeriodCoverage start and end dates
                                                                    ... payor SΣ1..1Reference(US Core Organization Profile S | US Core Patient Profile | US Core RelatedPerson Profile)(USCDI) Issuer of the policy
                                                                    SΣ1..1Reference(US Core Organization Profile S | US Core Patient Profile | US Core RelatedPerson Profile)Issuer of the policy
                                                                      ... Slices for class S0..*BackboneElement(USCDI) Additional coverage classifications
                                                                      Slice: Unordered, Open by pattern:type
                                                                      S0..*BackboneElementAdditional coverage classifications
                                                                      Slice: Unordered, Open by pattern:type
                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                          0..*ExtensionAdditional content defined by implementations
                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                              .... type Σ1..1CodeableConceptType of class such as 'group' or 'plan'
                                                                              Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc.

                                                                              Σ1..1CodeableConceptType of class such as 'group' or 'plan'
                                                                              Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc.

                                                                                .... value Σ1..1stringValue associated with the typeΣ1..1stringValue associated with the type
                                                                                  .... name Σ0..1stringHuman readable description of the type and valueΣ0..1stringHuman readable description of the type and value
                                                                                    ... order Σ0..1positiveIntRelative order of the coverageΣ0..1positiveIntRelative order of the coverage
                                                                                      ... network Σ0..1stringInsurer networkΣ0..1stringInsurer network
                                                                                        ... costToBeneficiary 0..*BackboneElementPatient payments for services/products
                                                                                        0..*BackboneElementPatient payments for services/products
                                                                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                            .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                .... type Σ0..1CodeableConceptCost category
                                                                                                Binding: ?? (extensible): The types of services to which patient copayments are specified.

                                                                                                Σ0..1CodeableConceptCost category
                                                                                                Binding: ?? (extensible): The types of services to which patient copayments are specified.

                                                                                                  .... value[x] Σ1..1??, MoneyThe amount or percentage due from the beneficiaryΣ1..1??, MoneyThe amount or percentage due from the beneficiary
                                                                                                    .... exception 0..*BackboneElementExceptions for patient payments
                                                                                                    0..*BackboneElementExceptions for patient payments
                                                                                                      ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                        ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                                          ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                            ..... type Σ1..1CodeableConceptException category
                                                                                                            Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays.

                                                                                                            Σ1..1CodeableConceptException category
                                                                                                            Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays.

                                                                                                              ..... period Σ0..1PeriodThe effective period of the exceptionΣ0..1PeriodThe effective period of the exception
                                                                                                                ... subrogation 0..1booleanReimbursement to insurer0..1booleanReimbursement to insurer
                                                                                                                  ... contract 0..*Reference(Contract)Contract details
                                                                                                                  0..*Reference(Contract)Contract details

                                                                                                                    doco Documentation for this format