Profile Comparison between https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient vs https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient

Left:Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
Right:BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)

Messages

ErrorStructureDefinition.versionValues for version differ: '2.0.0' vs '2.1.2'
InformationStructureDefinition.titleValues for title differ: 'Patient core BE profile' vs 'BePatient'
InformationStructureDefinition.dateValues for date differ: '2022-03-24T18:40:52+01:00' vs '2024-08-30T17:14:57+02:00'
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. Special remarks for KMEHR users: Please note gender in KMEHR is typically expressed using CD-SEX. The two values that do not map directly to the HL7 dataset are 'undefined' (use 'other') and 'changed' (use the actual gender)' vs 'This is primarily the administrative gender. 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. Special remarks for KMEHR users: Please note gender in KMEHR is typically expressed using CD-SEX. The two values that do not map directly to the HL7 dataset are 'undefined' (use 'other') and 'changed' (use the actual gender)'
InformationPatient.genderElement minimum cardinalities differ: '1' vs '0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Patient
      .copyright
        .date2022-03-24T18:40:52+01:002024-08-30T17:14:57+02:00
        • Values Differ
        .descriptionBelgian federal profile for a patient. Initially based on the functional description of the NIHDI. Special remarks for KMEHR users: following elements in KMEHR are not available in this FHIR resource. If needed, an extension can be defined in a future iteration of these specifications: the 'deathlocation' (location is not available but the death of the patient is expressed by either date or Boolean cfr. infra.), the 'insurancystatus' (covered in a seperate FHIR resource: Coverage), 'insurancymembership' (covered in a seperate FHIR resource: Coverage) and 'profession' (covered in a possible future FHIR resource: OccupationalData.)
          .experimental
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#BE
                  .kindresource
                    .nameBePatient
                      .publishereHealth Platform
                        .purpose
                          .statusactive
                            .titlePatient core BE profileBePatient
                            • Values Differ
                            .typePatient
                              .urlhttps://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient
                                .version2.0.02.1.2
                                • 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 or animal receiving health care services
                                  ... id Σ0..1stringLogical 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
                                                ... Slices for identifier SΣ0..*IdentifierAn identifier for this patient
                                                Slice: Unordered, Open by value:system
                                                SΣC0..*IdentifierAn identifier for this patient
                                                Slice: Unordered, Open by value:system
                                                be-inv-SSIN: SINN contains 11 digits without interpunction
                                                  ... active ?!Σ0..1booleanWhether this patient's record is in active use?!Σ0..1booleanWhether this patient's record is in active use
                                                    ... name SΣ0..*HumanNameA name associated with the patient
                                                    SΣ0..*HumanNameA name associated with the patient
                                                      ... telecom Σ0..*ContactPointA contact detail for the individual
                                                      Σ0..*ContactPointA contact detail for the individual
                                                        ... gender Σ1..1codemale | female | other | unknown
                                                        Binding: ?? (required): The gender of a person used for administrative purposes.

                                                        Σ0..1codemale | female | other | unknown
                                                        Binding: ?? (required): The gender of a person used for administrative purposes.

                                                        • Element minimum cardinalities differ: '1' vs '0'
                                                        ... birthDate Σ0..1dateThe date of birth for the individualΣ0..1dateThe date of birth for the individual
                                                          .... id 0..1stringxml:id (or equivalent in JSON)0..1stringxml:id (or equivalent in JSON)
                                                            .... Slices for extension 0..*ExtensionExtension
                                                            Slice: Unordered, Open by value:url
                                                            0..*ExtensionExtension
                                                            Slice: Unordered, Open by value:url
                                                              .... value 0..1datePrimitive value for date0..1datePrimitive value for date
                                                                ... deceased[x] ?!Σ0..1boolean, dateTimeIndicates if the individual is deceased or not?!Σ0..1boolean, dateTimeIndicates if the individual is deceased or not
                                                                  ... address 0..*??An address expressed using postal conventions (as opposed to GPS or other location definition formats)
                                                                  0..*??An address expressed using postal conventions (as opposed to GPS or other location definition formats)
                                                                    ... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
                                                                    Binding: ?? (required)
                                                                    0..1CodeableConceptMarital (civil) status of a patient
                                                                    Binding: ?? (required)
                                                                      ... 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)
                                                                                  0..*CodeableConceptThe kind of relationship
                                                                                  Binding: ?? (extensible)
                                                                                    .... 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..*BackboneElementA 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 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
                                                                                                        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
                                                                                                          .... preferred 0..1booleanLanguage preference indicator0..1booleanLanguage preference indicator
                                                                                                            ... generalPractitioner 0..*Reference(Organisation core BE profile(2.0.0) | Practitioner core BE profile(2.0.0) | Practitioner role core BE profile(2.0.0))Patient's nominated primary care provider
                                                                                                            0..*Reference(BeOrganization(2.1.2) | BePractitioner(2.1.2) | BePractitionerRole(2.1.2))Patient's nominated primary care provider
                                                                                                              ... managingOrganization Σ0..1Reference(Organisation core BE profile(2.0.0))Organization that is the custodian of the patient recordΣ0..1Reference(BeOrganization(2.1.2))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