Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient vs http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient

Left:US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
Right:C4DIC Patient (http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient' vs 'http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient'
ErrorStructureDefinition.versionValues for version differ: '7.0.0-ballot' vs '1.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCorePatientProfile' vs 'C4DICPatient'
InformationStructureDefinition.titleValues for title differ: 'US Core Patient Profile' vs 'C4DIC Patient'
InformationStructureDefinition.dateValues for date differ: '2023-10-17' vs '2024-04-16T15:59:41+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Payer/Provider Information Exchange Work Group'
InformationStructureDefinition.shortValues for short differ: 'Information about an individual or animal receiving health care services' vs 'Information about an individual who has health insurance coverage'
InformationStructureDefinition.definitionValues for definition differ: '\-' vs 'Demographics and other administrative information about an individual with insurance coverage provided by a health plan.'
WarningPatient.metaElements differ in definition for mustSupport: 'false' vs 'true'
InformationPatient.metaElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: 'Extension' vs 'Additional content defined by implementations'
InformationStructureDefinition.definitionValues for definition differ: '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.'
WarningPatient.identifierElements differ in definition for mustSupport: 'true' vs 'false'
InformationPatient.identifierElement minimum cardinalities differ: '1' vs '0'
InformationPatient.nameElement maximum cardinalities differ: '2147483647' vs '1'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden' vs 'usual | official | temp | nickname | anonymous | old | maiden'
InformationStructureDefinition.commentValues for comment differ: 'Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).' vs 'Where an individual has only one name, payers SHALL provide the information as family name to ensure consistency.'
InformationPatient.name.familyElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name' vs 'Parts that come after the name'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use' vs 'Time period when name was/is in use'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual' vs 'A contact detail for the individual'
InformationStructureDefinition.commentValues for comment differ: 'The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a 'hard' error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.' vs 'MAY be excluded. Gender is not a data element typically found on physical insurance cards. Furthermore, self-identified gender may change over time. Including this element could create a situation where the gender element in the provided resource does not match that in another form of identification or does not match the member's self-identified gender.'
WarningPatient.genderElements differ in definition for mustSupport: 'true' vs 'false'
InformationPatient.genderElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.commentValues for comment differ: 'At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension 'patient-birthTime' available that should be used where Time is required (such as in maternity/infant care systems).' vs 'MAY be excluded. This data element is printed on some physical insurance cards, but not all.'
WarningPatient.birthDateElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not' vs 'Indicates if the individual is deceased or not'
WarningPatient.addressElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 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'
WarningPatient.communication.languageElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Patient
      .copyrightUsed 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'
      .date2023-10-172024-04-16T15:59:41+00:00
      • Values Differ
      .descriptionThe 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.The goal of this profile is to describe a data-minimized version of Patient used to convey information about the Member who has health insurance coverage. Information that would normally not appear on a health insurance card is not required. The use of this profile is only approved for conveying information related to a health insurance card as part of this IG.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCorePatientProfileC4DICPatient
              • Values Differ
              .publisherHL7 International / Cross-Group ProjectsHL7 International / Payer/Provider Information Exchange Work Group
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Patient ProfileC4DIC Patient
                  • Values Differ
                  .typePatient
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-patienthttp://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient
                    • Values Differ
                    .version7.0.0-ballot1.1.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                    .. Patient 0..*PatientInformation about an individual or animal receiving health care services
                    0..*PatientInformation about an individual who has health insurance coverage
                      ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                        ... meta Σ0..1MetaMetadata about the resourceSΣ1..1MetaMetadata about the resource
                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                        • Element minimum cardinalities differ: '0' vs '1'
                        .... id 0..1stringUnique id for inter-element referencing
                        • Added this element
                        .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                        Slice: Unordered, Open by value:url
                        • Added this element
                        .... versionId Σ0..1idVersion specific identifier
                        • Added this element
                        .... lastUpdated SΣ1..1instantWhen the resource version last changed
                        • Added this element
                        .... source Σ0..1uriIdentifies where the resource comes from
                        • Added this element
                        .... Slices for profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
                        Slice: Unordered, Open by pattern:$this
                        • Added this element
                        .... security Σ0..*CodingSecurity Labels applied to this resource
                        Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


                        • Added this element
                        .... tag Σ0..*CodingTags applied to this resource
                        Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


                        • Added this element
                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                          ... 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
                              ... Slices for extension 0..*ExtensionExtension
                              Slice: Unordered, Open by value:url
                              0..*ExtensionAdditional content defined by implementations
                                ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                ?!0..*ExtensionExtensions that cannot be ignored
                                  ... identifier SΣ1..*IdentifierAn identifier for this patient
                                  Σ0..*IdentifierAn identifier for this patient
                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                  • Element minimum cardinalities differ: '1' vs '0'
                                  .... id 0..1stringUnique id for inter-element referencing
                                  • Removed this element
                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                  Slice: Unordered, Open by value:url
                                  • Removed this element
                                  .... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
                                  Binding: ?? (required): Identifies the purpose for this identifier, if known .

                                  • Removed this element
                                  .... type Σ0..1CodeableConceptDescription of identifier
                                  Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                  • Removed this element
                                  .... system SΣ1..1uriThe namespace for the identifier value
                                  Example General: http://www.acme.com/identifiers/patient
                                  • Removed this element
                                  .... value SΣ1..1stringThe value that is unique within the system.
                                  Example General: 123456
                                  • Removed this element
                                  .... period Σ0..1PeriodTime period when id is/was valid for use
                                  • Removed this element
                                  .... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
                                  • Removed this element
                                  ... active ?!Σ0..1booleanWhether this patient's record is in active use?!Σ0..1booleanWhether this patient's record is in active use
                                    ... name SΣC1..*HumanNameA 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.
                                    SΣ1..1HumanNameA name associated with the patient
                                    • Element maximum cardinalities differ: '2147483647' vs '1'
                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                      .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                      Slice: Unordered, Open by value:url
                                      0..*ExtensionAdditional content defined by implementations
                                      Slice: Unordered, Open by value:url
                                        .... use ?!Σ0..1code𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden
                                        Binding: ?? (required): The use of a human name.

                                        ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
                                        Binding: ?? (required): The use of a human name.

                                          .... text Σ0..1stringText representation of the full nameΣ0..1stringText representation of the full name
                                            .... family SΣC0..1stringFamily name (often called 'Surname')SΣ1..1stringFamily name (often called 'Surname')
                                            • Element minimum cardinalities differ: '0' vs '1'
                                            .... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
                                            This repeating element order: Given Names appear in the correct order for presenting the name
                                            SΣ0..*stringGiven names (not always 'first'). Includes middle names
                                            This repeating element order: Given Names appear in the correct order for presenting the name
                                              .... prefix Σ0..*stringParts that come before the name
                                              This repeating element order: Prefixes appear in the correct order for presenting the name
                                              Σ0..*stringParts that come before the name
                                              This repeating element order: Prefixes appear in the correct order for presenting the name
                                                .... suffix Σ0..*string𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name
                                                This repeating element order: Suffixes appear in the correct order for presenting the name
                                                Σ0..*stringParts that come after the name
                                                This repeating element order: Suffixes appear in the correct order for presenting the name
                                                  .... period Σ0..1Period𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in useΣ0..1PeriodTime period when name was/is in use
                                                    ... telecom Σ0..*ContactPoint𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual
                                                    Σ0..*ContactPointA contact detail for the individual
                                                      .... id 0..1stringUnique id for inter-element referencing
                                                      • Removed this element
                                                      .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                      Slice: Unordered, Open by value:url
                                                      • Removed this element
                                                      .... system SΣC1..1codephone | fax | email | pager | url | sms | other
                                                      Binding: ?? (required): Telecommunications form for contact point.

                                                      • Removed this element
                                                      .... value SΣ1..1stringThe actual contact point details
                                                      • Removed this element
                                                      .... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
                                                      Binding: ?? (required)
                                                      • Removed this element
                                                      .... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
                                                      • Removed this element
                                                      .... period Σ0..1PeriodTime period when the contact point was/is in use
                                                      • Removed this element
                                                      ... gender SΣ1..1codemale | female | other | unknown
                                                      Binding: ?? (required)
                                                      Σ0..1codemale | female | other | unknown
                                                      Binding: ?? (required): The gender of a person used for administrative purposes.

                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      • Element minimum cardinalities differ: '1' vs '0'
                                                      ... birthDate SΣ0..1dateThe date of birth for the individualΣ0..1dateThe date of birth for the individual
                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      ... deceased[x] ?!Σ0..1boolean, dateTime𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not?!Σ0..1boolean, dateTimeIndicates if the individual is deceased or not
                                                        ... address SΣ0..*AddressAn address for the individual
                                                        Σ0..*AddressAn address for the individual
                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                        .... id 0..1stringUnique id for inter-element referencing
                                                        • Removed this element
                                                        .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                        Slice: Unordered, Open by value:url
                                                        • Removed this element
                                                        .... use ?!Σ0..1code𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address
                                                        Binding: ?? (required): The use of an address.


                                                        Example General: home
                                                        • Removed this element
                                                        .... type Σ0..1codepostal | physical | both
                                                        Binding: ?? (required): The type of an address (physical / postal).


                                                        Example General: both
                                                        • Removed this element
                                                        .... text Σ0..1stringText representation of the address
                                                        Example General: 137 Nowhere Street, Erewhon 9132
                                                        • Removed this element
                                                        .... line SΣ0..*stringStreet 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
                                                        Example General: 49 MEADOW ST
                                                        • Removed this element
                                                        .... city SΣ0..1stringName of city, town etc.
                                                        Example General: Erewhon
                                                        Example General: EVERYTOWN
                                                        • Removed this element
                                                        .... district Σ0..1stringDistrict name (aka county)
                                                        Example General: Madison
                                                        • Removed this element
                                                        .... state SΣ0..1stringSub-unit of country (abbreviations ok)
                                                        Binding: ?? (extensible): Two Letter USPS alphabetic codes.


                                                        Example General: OK
                                                        • Removed this element
                                                        .... postalCode SΣ0..1stringUS Zip Codes
                                                        Example General: 9132
                                                        Example General: 74047
                                                        • Removed this element
                                                        .... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                                        • Removed this element
                                                        .... period Σ0..1Period𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use
                                                        Example General: {"start":"2010-03-23","end":"2010-07-01"}
                                                        • Removed this element
                                                        ... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
                                                        Binding: ?? (extensible): The domestic partnership status of a person.

                                                        0..1CodeableConceptMarital (civil) status of a patient
                                                        Binding: ?? (extensible): The domestic partnership status of a person.

                                                          ... multipleBirth[x] 0..1boolean, integerWhether patient is part of a multiple birth0..1boolean, integerWhether patient is part of a multiple birth
                                                            ... photo 0..*AttachmentImage of the patient
                                                            0..*AttachmentImage of the patient
                                                              ... contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
                                                              pat-1: SHALL at least contain a contact's details or a reference to an organization
                                                              C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
                                                              pat-1: SHALL at least contain a contact's details or a reference to an organization
                                                                .... 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
                                                                      .... relationship 0..*CodeableConceptThe kind of relationship
                                                                      Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient.


                                                                      0..*CodeableConceptThe kind of relationship
                                                                      Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient.


                                                                        .... name 0..1HumanNameA name associated with the contact person0..1HumanNameA name associated with the contact person
                                                                          .... telecom 0..*ContactPointA contact detail for the person
                                                                          0..*ContactPointA contact detail for the person
                                                                            .... address 0..1AddressAddress for the contact person0..1AddressAddress for the contact person
                                                                              .... gender 0..1codemale | female | other | unknown
                                                                              Binding: ?? (required): The gender of a person used for administrative purposes.

                                                                              0..1codemale | female | other | unknown
                                                                              Binding: ?? (required): The gender of a person used for administrative purposes.

                                                                                .... organization C0..1Reference(Organization)Organization that is associated with the contactC0..1Reference(Organization)Organization that is associated with the contact
                                                                                  .... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
                                                                                    ... communication 0..*BackboneElement𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language which may be used to communicate with the patient about his or her health
                                                                                    0..*BackboneElementA language which may be used to communicate with the patient about his or her health
                                                                                      .... 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
                                                                                            .... language S1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
                                                                                            Binding: ?? (extensible)
                                                                                            1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
                                                                                            Binding: ?? (preferred): A human language.

                                                                                            Additional BindingsPurpose
                                                                                            ??Max Binding
                                                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                            .... preferred 0..1booleanLanguage preference indicator0..1booleanLanguage 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 Σ0..1Reference(Organization)Organization that is the custodian of the patient recordΣ0..1Reference(Organization)Organization that is the custodian of the patient record
                                                                                                  ... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
                                                                                                  ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
                                                                                                    .... 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
                                                                                                          .... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers toΣ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
                                                                                                            .... type Σ1..1codereplaced-by | replaces | refer | seealso
                                                                                                            Binding: ?? (required): The type of link between this patient resource and another patient resource.

                                                                                                            Σ1..1codereplaced-by | replaces | refer | seealso
                                                                                                            Binding: ?? (required): The type of link between this patient resource and another patient resource.


                                                                                                              doco Documentation for this format