# Card Issue Date - CARIN Digital Insurance Card v2.0.0-ballot

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Card Issue Date**

## Extension: Card Issue Date 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-CardIssueDate-extension | *Version*:2.0.0-ballot | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:CardIssueDate |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.9.42.5 | | |

This extension allows for the expression of the date at which the insurance card was issued by the payer. The health plan may pass this along with the Coverage resource to indicate when the information became in force. Please note, this data element is distinct from the coverage period for the health plan as the insurance card may be provided in advance of the coverage start date or following the coverage start date (for example, in the event a replacement card is needed.)

**Context of Use**

This extension may be used on the following element(s):

* Element ID Coverage

**Usage info**

**Usages:**

* Use this Extension: [C4DIC Coverage](StructureDefinition-C4DIC-Coverage.md)
* Examples for this Extension: [Coverage/Example-Coverage-FSH](Coverage-Example-Coverage-FSH.md) and [Coverage/Example-Coverage1](Coverage-Example-Coverage1.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.us.insurance-card|current/StructureDefinition/StructureDefinition-C4DIC-CardIssueDate-extension.json)

### Formal Views of Extension Content

 [Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-C4DIC-CardIssueDate-extension.csv), [Excel](StructureDefinition-C4DIC-CardIssueDate-extension.xlsx), [Schematron](StructureDefinition-C4DIC-CardIssueDate-extension.sch) 

#### Constraints



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "C4DIC-CardIssueDate-extension",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "claims"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-CardIssueDate-extension",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.9.42.5"
  }],
  "version" : "2.0.0-ballot",
  "name" : "CardIssueDate",
  "title" : "Card Issue Date",
  "status" : "active",
  "date" : "2026-08-13T02:29:19+10:00",
  "publisher" : "HL7 International / Payer/Provider Information Exchange Work Group",
  "contact" : [{
    "name" : "HL7 International / Payer/Provider Information Exchange Work Group",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/claims"
    },
    {
      "system" : "email",
      "value" : "pie@lists.HL7.org"
    }]
  }],
  "description" : "This extension allows for the expression of the date at which the insurance card was issued by the payer. The health plan may pass this along with the Coverage resource to indicate when the information became in force. Please note, this data element is distinct from the coverage period for the health plan as the insurance card may be provided in advance of the coverage start date or following the coverage start date (for example, in the event a replacement card is needed.)",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "type" : "element",
    "expression" : "Coverage"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Extension",
      "path" : "Extension",
      "short" : "Card Issue Date",
      "definition" : "This extension allows for the expression of the date at which the insurance card was issued by the payer. The health plan may pass this along with the Coverage resource to indicate when the information became in force. Please note, this data element is distinct from the coverage period for the health plan as the insurance card may be provided in advance of the coverage start date or following the coverage start date (for example, in the event a replacement card is needed.)"
    },
    {
      "id" : "Extension.extension",
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "id" : "Extension.url",
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-CardIssueDate-extension"
    },
    {
      "id" : "Extension.value[x]",
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "date"
      }]
    }]
  }
}

```
