Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference vs http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-documentreference

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DocumentReference
copyright	Used 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'
date	2023-10-17	2025-09-29T13:18:51+00:00	Values Differ
description	The US Core Advance Directive Information (ADI) DocumentReference Profile inherits from the FHIR [DocumentReference](https://hl7.org/fhir/R4/documentreference.html) resource; refer to it for scope and usage definitions. This profile and the [US Core Observation ADI Documentation Profile](StructureDefinition-us-core-observation-adi-documentation.html) meet the [U.S. Core Data for Interoperability (USCDI)](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi) *Advance Directive Observation* Data Element requirements. It sets minimum expectations for searching and fetching patient Advance Directive Information (ADI) documents using the DocumentReference resource. Examples of advance healthcare directive documents include physician order for life sustaining treatment (POLST), do not resuscitate order (DNR), and medical power of attorney. In addition to the document contents, it communicates the type of advance directive document, the author, the verifier, and other properties. To represent whether advance directive documents exist for a patient, see the US Core Observation ADI Documentation Profile. This profile sets minimum expectations for searching and fetching patient ADI documents using the DocumentReference resource. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.	PCT GFE Packet Document Reference that enables searching and subscriptions for GFE Packets.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreADIDocumentReferenceProfile	PCTGFEDocumentReference	Values Differ
publisher	HL7 International / Cross-Group Projects	HL7 International / Financial Management	Values Differ
purpose
status	active
title	US Core ADI DocumentReference Profile	PCT GFE Packet Document Reference	Values Differ
type	DocumentReference
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference	http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-documentreference	Values Differ
version	8.0.0	2.0.0-draft	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DocumentReference		0..*	DocumentReference	A reference to a document		0..*	DocumentReference	A reference to a document
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	Example/preferred bindings differ at DocumentReference.language using binding from USCoreADIDocumentReferenceProfile
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		1..*	Extension	Extension Slice: Unordered, Open by value:url	Element minimum cardinalities differ: '0' vs '1'
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	SΣ	0..*	Identifier	Other identifiers for the document	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: ?? (required)	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: ?? (required): The status of the document reference.
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document.	SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document.	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (extensible): Advance Directives Content Type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document. Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse","code":"gfe-packet"}]}
Slices for category	SΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: ?? (example): High-level kind of a clinical document at a macro level.	SΣ	1..*	CodeableConcept	(USCDI) Categorization of document Slice: Unordered, Open by value:$this Binding: ?? (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(US Core Patient Profile S | Practitioner | Group | Device)	Who/what is the subject of the document	SΣ	1..1	Reference(HRex Patient Demographics)	Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created	ΣC	0..1	instant	When this document reference was created Constraints: pct-datetime-to-seconds	Elements differ in definition for mustSupport: 'true' vs 'false'
author	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	Who and/or what authored the document	Σ	1..*	Reference(PCT Organization | PCT Practitioner)	All involved authoring parties, including all Good Faith Estimate (GFE) providers	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization], CanonicalType[http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner]])
authenticator	S	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core PractitionerRole Profile)	Who/what authenticated the document		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document	Elements differ in definition for mustSupport: 'true' vs 'false'
custodian		0..1	Reference(Organization)	Organization which maintains the document		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents	SΣ	0..*	BackboneElement	Relationship to other GFE packet. Required if this estimate is replacing another. Slice: Unordered, Open by value:code	Elements differ in definition for mustSupport: 'false' vs 'true'
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
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description	Σ	0..1	string	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..*	BackboneElement	Document referenced	SΣ	1..1	BackboneElement	Document referenced	Element maximum cardinalities differ: '2147483647' vs '1'
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
attachment	SΣC	1..1	Attachment	Where to access the document Constraints: us-core-6	SΣC	1..1	Attachment	Where to access the document Constraints: pct-dr-1
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	0..1	code	Mime type of the content, with charset etc. Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png	SΣ	0..1	code	Mime type of the content, with charset etc. Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	Σ	0..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	Example/preferred bindings differ at DocumentReference.content.attachment.language using binding from USCoreADIDocumentReferenceProfile
data	SC	0..1	base64Binary	Data inline, base64ed	S	0..1	base64Binary	Data inline, base64ed
url	SΣC	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png	SΣ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created	Σ	0..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: ?? (extensible)	Σ	0..1	Coding	Format/content rules for the document Binding: ?? (preferred): Document Format Codes. Required Pattern: {"system":"http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse","code":"pct-gfe-packet"}	Elements differ in definition for mustSupport: 'true' vs 'false'
context	Σ	0..1	BackboneElement	Clinical context of document	Σ	0..1	BackboneElement	Clinical context of document
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
encounter		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableConcept	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.		0..*	CodeableConcept	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Time of service that is being documented	Σ	0..1	Period	Time of service that is being documented
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.		0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo		0..1	Reference(Patient)	Patient demographics from source		0..1	Reference(Patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format