Profile Comparison between http://hl7.eu/fhir/imaging-r5/StructureDefinition/Report-EuCoverage vs http://hl7.eu/fhir/imaging-r5/StructureDefinition/Report-EuCoverage

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Coverage
copyright	Used by permission of HL7 Europe, all rights reserved Creative Commons License
date	2025-05-14T15:47:13+02:00	2025-09-10T07:01:37+00:00	Values Differ
description	Report obligations for EuCoverage
experimental
fhirVersion	5.0.0
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#150
kind	resource
name	Report_EuCoverage
publisher	HL7 Europe
purpose
status	draft
title	Report obligations for EuCoverage	EuCoverage: obligations	Values Differ
type	Coverage
url	http://hl7.eu/fhir/imaging-r5/StructureDefinition/Report-EuCoverage
version	0.1.0-ballot	0.1.0-build	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Coverage		0..*	Coverage	Insurance or medical plan or a payment agreement		0..*	Coverage	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: ?? (required): IETF language tag for a human language Additional Bindings Purpose ?? Starter		0..1	code	Language of the resource content Binding: ?? (required): IETF language tag for a human language Additional Bindings Purpose ?? Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Business identifier(s) for this coverage Obligations Actor SHALL:populate-if-known Imaging study report provider	OΣ	0..*	Identifier	Business identifier(s) for this coverage Obligations Actor SHALL:populate-if-known Imaging study report provider
status	?!OΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. Obligations Actor SHALL:handle Imaging study report provider	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance.
kind	OΣ	1..1	code	insurance | self-pay | other Binding: ?? (required) Obligations Actor SHALL:populate-if-known Imaging study report provider	OΣ	1..1	code	insurance | self-pay | other Binding: ?? (required) Obligations Actor SHALL:populate-if-known Imaging study report provider
paymentBy		0..*	BackboneElement	Self-pay parties and responsibility		0..*	BackboneElement	Self-pay parties and responsibility
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
party	OΣ	1..1	Reference(Patient | RelatedPerson | Organization)	Parties performing self-payment Obligations Actor SHALL:populate-if-known Imaging study report provider	OΣ	1..1	Reference(Patient | RelatedPerson | Organization)	Parties performing self-payment Obligations Actor SHALL:populate-if-known Imaging study report provider
responsibility	Σ	0..1	string	Party's responsibility	Σ	0..1	string	Party's responsibility
type	OΣ	0..1	CodeableConcept	Coverage category such as medical or accident Binding: ?? (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. Obligations Actor SHALL:populate-if-known Imaging study report provider	OΣ	0..1	CodeableConcept	Coverage category such as medical or accident Binding: ?? (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. Obligations Actor SHALL:populate-if-known Imaging study report provider	Example/preferred bindings differ at Coverage.type using binding from Report_EuCoverage
policyHolder	Σ	0..1	Reference(Patient | RelatedPerson | Organization)	Owner of the policy	Σ	0..1	Reference(Patient | RelatedPerson | Organization)	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	OΣ	0..*	Identifier	ID assigned to the subscriber Obligations Actor SHALL:populate-if-known Imaging study report provider	OΣ	0..*	Identifier	ID assigned to the subscriber Obligations Actor SHALL:populate-if-known Imaging study report provider
beneficiary	OΣ	1..1	Reference(Patient)	Plan beneficiary Obligations Actor SHALL:populate-if-known Imaging study report provider	OΣ	1..1	Reference(Patient)	Plan beneficiary Obligations Actor SHALL:populate-if-known Imaging study report provider
dependent	Σ	0..1	string	Dependent number	Σ	0..1	string	Dependent number
relationship		0..1	CodeableConcept	Beneficiary relationship to the subscriber Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).		0..1	CodeableConcept	Beneficiary relationship to the subscriber Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
period	Σ	0..1	Period	Coverage start and end dates	Σ	0..1	Period	Coverage start and end dates
insurer	OΣ	0..1	Reference(Organization)	Issuer of the policy Obligations Actor SHALL:populate-if-known Imaging study report provider	OΣ	0..1	Reference(Organization)	Issuer of the policy Obligations Actor SHALL:populate-if-known Imaging study report provider
class		0..*	BackboneElement	Additional coverage classifications		0..*	BackboneElement	Additional coverage classifications
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, e.g. Group, Plan, Class, etc.	Σ	1..1	CodeableConcept	Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, e.g. Group, Plan, Class, etc.
value	Σ	1..1	Identifier	Value associated with the type	Σ	1..1	Identifier	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.
category		0..1	CodeableConcept	Benefit classification Binding: ?? (example)		0..1	CodeableConcept	Benefit classification Binding: ?? (example)
network		0..1	CodeableConcept	In or out of network Binding: ?? (example)		0..1	CodeableConcept	In or out of network Binding: ?? (example)
unit		0..1	CodeableConcept	Individual or family Binding: ?? (example)		0..1	CodeableConcept	Individual or family Binding: ?? (example)
term		0..1	CodeableConcept	Annual or lifetime Binding: ?? (example)		0..1	CodeableConcept	Annual or lifetime Binding: ?? (example)
value[x]	Σ	0..1	??, Money	The amount or percentage due from the beneficiary	Σ	0..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
insurancePlan		0..1	Reference(InsurancePlan)	Insurance plan details		0..1	Reference(InsurancePlan)	Insurance plan details
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