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

Left: | QICore Coverage (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage)
Right: | QICore Coverage (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage)

### Messages

Error | StructureDefinition.version | Values for version differ: '8.0.0-ballot' vs '7.0.2'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage |
copyright |  |
date | 2018-08-22 |
description | Profile of Coverage for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | QICoreCoverage |
publisher | HL7 International / Clinical Quality Information |
purpose |  |
status | active |
title | QICore Coverage |
type | Coverage |
url | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage |
version | 8.0.0-ballot | 7.0.2 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Coverage | C | 0..* | USCoreCoverageProfile | Insurance or medical plan or a payment agreement | C | 0..* | USCoreCoverageProfile | Insurance or medical plan or a payment agreement |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
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 |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
Slices for identifier | S Σ | 0..* | Identifier | Member ID and other identifiers Slice: Unordered, Open by value:type | S Σ | 0..* | Identifier | Member ID and other identifiers Slice: Unordered, Open by pattern:type |
status | ?!S Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. | ?!S Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. |
type | S Σ | 0..1 | CodeableConcept | (QI) Coverage category such as medical or accident Binding: ?? (extensible): Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system | S Σ | 0..1 | CodeableConcept | (QI) Coverage category such as medical or accident Binding: ?? (extensible): Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system |
policyHolder | Σ | 0..1 | Reference(QICore Patient | QICore Organization | QICore RelatedPerson) | (QI) Owner of the policy | Σ | 0..1 | Reference(QICore Patient | QICore Organization | QICore RelatedPerson) | (QI) Owner of the policy |
subscriber | Σ | 0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy | Σ | 0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy |
subscriberId | S Σ C | 0..1 | string | (QI) ID assigned to the subscriber | S Σ C | 0..1 | string | (QI) ID assigned to the subscriber |
beneficiary | S Σ | 1..1 | Reference(QICore Patient) | (QI) Plan beneficiary | S Σ | 1..1 | Reference(QICore Patient) | (QI) Plan beneficiary |
dependent | Σ | 0..1 | string | Dependent number | Σ | 0..1 | string | Dependent number |
relationship | S | 1..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: ?? (extensible) | S | 1..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: ?? (extensible) |
period | S Σ | 0..1 | Period | (QI) Coverage start and end dates | S Σ | 0..1 | Period | (QI) Coverage start and end dates |
payor | S Σ | 1..1 | Reference(QICore Patient | QICore Organization | QICore RelatedPerson) | (QI) Issuer of the policy | S Σ | 1..1 | Reference(QICore Patient | QICore Organization | QICore RelatedPerson) | (QI) Issuer of the policy |
Slices for class | S | 0..* | BackboneElement | Additional coverage classifications Slice: Unordered, Open by value:type | S | 0..* | BackboneElement | Additional coverage classifications Slice: Unordered, Open by pattern:type |
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 |
type | Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc. | Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc. |
value | Σ | 1..1 | string | Value associated with the type | Σ | 1..1 | string | Value associated with the type |
name | Σ | 0..1 | string | Human readable description of the type and value | Σ | 0..1 | string | Human readable description of the type and value |
order | Σ | 0..1 | positiveInt | Relative order of the coverage | Σ | 0..1 | positiveInt | Relative order of the coverage |
network | Σ | 0..1 | string | Insurer network | Σ | 0..1 | string | Insurer network |
costToBeneficiary |  | 0..* | BackboneElement | Patient payments for services/products |  | 0..* | BackboneElement | Patient payments for services/products |
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 |
type | Σ | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. | Σ | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. |
value[x] | Σ | 1..1 | ??, Money | The amount or percentage due from the beneficiary | Σ | 1..1 | ??, Money | The amount or percentage due from the beneficiary |
exception |  | 0..* | BackboneElement | Exceptions for patient payments |  | 0..* | BackboneElement | Exceptions for patient payments |
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 |
type | Σ | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. | Σ | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. |
period | Σ | 0..1 | Period | The effective period of the exception | Σ | 0..1 | Period | The effective period of the exception |
subrogation |  | 0..1 | boolean | Reimbursement to insurer |  | 0..1 | boolean | Reimbursement to insurer |
contract |  | 0..* | Reference(Contract) | Contract details |  | 0..* | Reference(Contract) | Contract details |
Documentation for this format