Profile Comparison between http://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document vs http://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document

Left:Continuity of Care Document (http://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document)
Right:Continuity of Care Document (http://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.2.0-ballot' vs '1.2.0'
InformationStructureDefinition.dateValues for date differ: '2023-03-27T20:45:24+00:00' vs '2024-03-12T16:03:19+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 Structured Documents Working Group' vs 'HL7 International / Cross-Group Projects'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header
      .copyright
        .date2023-03-27T20:45:24+00:002024-03-12T16:03:19+00:00
        • Values Differ
        .descriptionThis profile was originally based on the Continuity of Care Document (CCD) Release 1.1 which itself was derived from HITSP C32 and CCD Release 1.0. The Continuity of Care Document (CCD) profile represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another to support the continuity of care. The primary use case for the CCD is to provide a snapshot in time containing the germane clinical, demographic, and administrative data for a specific patient. The key characteristic of a CCD is that the Composition.event.code is constrained to "PCPR". This means it does not function to report new services associated with performing care. It reports on care that has already been provided. The CCD provides a historical tally of the care over a range of time and is not a record of new services delivered. More specific use cases, such as a Discharge Summary, Transfer Summary, Referral Note, Consultation Note, or Progress Note, are available as alternative profiles.
          .experimental
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindresource
                    .nameContinuityOfCareDocument
                      .publisherHL7 Structured Documents Working GroupHL7 International / Cross-Group Projects
                      • Values Differ
                      .purpose
                        .statusactive
                          .titleContinuity of Care Document
                            .typeComposition
                              .urlhttp://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document
                                .version1.2.0-ballot1.2.0
                                • Values Differ

                                Structure

                                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                                .. Composition 0..*USRealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
                                0..*USRealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
                                  ... 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
                                        ... 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..*ExtensionExtension
                                            Slice: Unordered, Open by value:url
                                              ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                              ?!0..*ExtensionExtensions that cannot be ignored
                                                ... identifier SΣ1..1IdentifieridentifierSΣ1..1Identifieridentifier
                                                  ... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
                                                  Binding: ?? (required): The workflow/clinical status of the composition.

                                                  ?!Σ1..1codepreliminary | final | amended | entered-in-error
                                                  Binding: ?? (required): The workflow/clinical status of the composition.

                                                    ... type SΣ1..1CodeableConceptSummary of episode note
                                                    Binding: ?? (preferred): Type of a composition.


                                                    Required Pattern: {"coding":[{"system":"http://loinc.org","code":"34133-9"}]}
                                                    SΣ1..1CodeableConceptSummary of episode note
                                                    Binding: ?? (preferred): Type of a composition.


                                                    Required Pattern: {"coding":[{"system":"http://loinc.org","code":"34133-9"}]}
                                                      ... category Σ0..*CodeableConceptCategorization of Composition
                                                      Binding: ?? (example): High-level kind of a clinical document at a macro level.


                                                      Σ0..*CodeableConceptCategorization of Composition
                                                      Binding: ?? (example): High-level kind of a clinical document at a macro level.


                                                        ... subject SΣ0..1Reference(US Core Patient Profile | Group)Who and/or what the composition is aboutSΣ0..1Reference(US Core Patient Profile | Group)Who and/or what the composition is about
                                                          ... encounter SΣ0..1Reference(US Core Encounter Profile)Context of the CompositionSΣ0..1Reference(US Core Encounter Profile)Context of the Composition
                                                            ... date SΣ1..1dateTimedateSΣ1..1dateTimedate
                                                              ... author SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
                                                              SΣ1..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson)Who and/or what authored the composition
                                                                ... title SΣ1..1stringDocument TitleSΣ1..1stringDocument Title
                                                                  ... confidentiality Σ0..0Σ0..0
                                                                    ... Slices for attester 0..*BackboneElementAttests to accuracy of composition
                                                                    Slice: Unordered, Open by value:mode
                                                                    0..*BackboneElementAttests to accuracy of composition
                                                                    Slice: Unordered, Open by value:mode
                                                                      .... 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
                                                                            .... mode 1..1codepersonal | professional | legal | official
                                                                            Binding: ?? (required): The way in which a person authenticated a composition.

                                                                            1..1codepersonal | professional | legal | official
                                                                            Binding: ?? (required): The way in which a person authenticated a composition.

                                                                              .... time 0..1dateTimeWhen the composition was attested0..1dateTimeWhen the composition was attested
                                                                                .... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
                                                                                  ... custodian SΣ1..1Reference(US Core Organization Profile)custodianSΣ1..1Reference(US Core Organization Profile)custodian
                                                                                    ... relatesTo 0..*BackboneElementRelationships to other compositions/documents
                                                                                    0..*BackboneElementRelationships to other compositions/documents
                                                                                      .... 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
                                                                                            .... code 1..1codereplaces | transforms | signs | appends
                                                                                            Binding: ?? (required): The type of relationship between documents.

                                                                                            1..1codereplaces | transforms | signs | appends
                                                                                            Binding: ?? (required): The type of relationship between documents.

                                                                                              .... target[x] 1..1Identifier, Reference(Composition)Target of the relationship1..1Identifier, Reference(Composition)Target of the relationship
                                                                                                ... event SΣ1..1BackboneElementserviceEvent
                                                                                                SΣ1..1BackboneElementserviceEvent
                                                                                                  .... 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
                                                                                                        .... code Σ0..*CodeableConceptcode
                                                                                                        Binding: ?? (example): This list of codes represents the main clinical acts being documented.


                                                                                                        Σ0..*CodeableConceptcode
                                                                                                        Binding: ?? (example): This list of codes represents the main clinical acts being documented.


                                                                                                          .... period Σ1..1PeriodperiodΣ1..1Periodperiod
                                                                                                            ..... 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
                                                                                                                ..... start ΣC1..1dateTimestartΣC1..1dateTimestart
                                                                                                                  ..... end ΣC1..1dateTimeendΣC1..1dateTimeend
                                                                                                                    .... detail Σ0..*Reference(Resource)The event(s) being documented
                                                                                                                    Σ0..*Reference(Resource)The event(s) being documented
                                                                                                                      ... Slices for section C0..*BackboneElementComposition is broken into sections
                                                                                                                      Slice: Unordered, Open by value:code
                                                                                                                      cmp-1: A section must contain at least one of text, entries, or sub-sections
                                                                                                                      cmp-2: A section can only have an emptyReason if it is empty
                                                                                                                      C0..*BackboneElementComposition is broken into sections
                                                                                                                      Slice: Unordered, Open by value:code
                                                                                                                      cmp-1: A section must contain at least one of text, entries, or sub-sections
                                                                                                                      cmp-2: A section can only have an emptyReason if it is empty
                                                                                                                        .... 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
                                                                                                                              .... title 0..1stringLabel for section (e.g. for ToC)0..1stringLabel for section (e.g. for ToC)
                                                                                                                                .... code 0..1CodeableConceptClassification of section (recommended)
                                                                                                                                Binding: ?? (example): Classification of a section of a composition/document.

                                                                                                                                0..1CodeableConceptClassification of section (recommended)
                                                                                                                                Binding: ?? (example): Classification of a section of a composition/document.

                                                                                                                                  .... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
                                                                                                                                  0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
                                                                                                                                    .... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
                                                                                                                                      .... text C0..1NarrativeText summary of the section, for human interpretationC0..1NarrativeText summary of the section, for human interpretation
                                                                                                                                        .... mode 0..1codeworking | snapshot | changes
                                                                                                                                        Binding: ?? (required): The processing mode that applies to this section.

                                                                                                                                        0..1codeworking | snapshot | changes
                                                                                                                                        Binding: ?? (required): The processing mode that applies to this section.

                                                                                                                                          .... orderedBy 0..1CodeableConceptOrder of section entries
                                                                                                                                          Binding: ?? (preferred): What order applies to the items in the entry.

                                                                                                                                          0..1CodeableConceptOrder of section entries
                                                                                                                                          Binding: ?? (preferred): What order applies to the items in the entry.

                                                                                                                                            .... entry C0..*Reference(Resource)A reference to data that supports this section
                                                                                                                                            C0..*Reference(Resource)A reference to data that supports this section
                                                                                                                                              .... emptyReason C0..1CodeableConceptWhy the section is empty
                                                                                                                                              Binding: ?? (preferred): If a section is empty, why it is empty.

                                                                                                                                              C0..1CodeableConceptWhy the section is empty
                                                                                                                                              Binding: ?? (preferred): If a section is empty, why it is empty.

                                                                                                                                                .... section C0..*See section (Composition)Nested Section
                                                                                                                                                C0..*See section (Composition)Nested Section

                                                                                                                                                  doco Documentation for this format