## Profile Comparison between http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient vs http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient

Left: | C4DIC Patient (http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient)
Right: | C4DIC Patient (http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.1.0' vs '2.0.0-ballot'
Information | StructureDefinition.date | Values for date differ: '2024-04-16T17:28:04+00:00' vs '2026-08-13T02:29:19+10:00'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Patient' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0'
Information | StructureDefinition.definition | Values for definition differ: 'A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.' vs 'A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.'
Information | StructureDefinition.definition | Values for definition differ: 'A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).' vs 'A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).'
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Information | StructureDefinition.short | Values for short differ: 'An identifier for this patient' vs '(USCDI) An identifier for this patient'
Warning | Patient.identifier | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | Patient.identifier | Element minimum cardinalities differ: '0' vs '1'
Information | StructureDefinition.short | Values for short differ: 'A name associated with the patient' vs '(USCDI) A name associated with the patient'
Information | StructureDefinition.short | Values for short differ: 'usual | official | temp | nickname | anonymous | old | maiden' vs '(USCDI) usual | official | temp | nickname | anonymous | old | maiden'
Information | StructureDefinition.short | Values for short differ: 'Family name (often called 'Surname')' vs '(USCDI) Family name (often called 'Surname')'
Information | StructureDefinition.short | Values for short differ: 'Given names (not always 'first'). Includes middle names' vs '(USCDI) Given names (not always 'first'). Includes middle names'
Information | StructureDefinition.short | Values for short differ: 'Parts that come after the name' vs '(USCDI) Parts that come after the name'
Information | StructureDefinition.short | Values for short differ: 'Time period when name was/is in use' vs '(USCDI) Time period when name was/is in use'
Information | StructureDefinition.short | Values for short differ: 'A contact detail for the individual' vs '(USCDI) A contact detail for the individual'
Information | StructureDefinition.short | Values for short differ: 'male | female | other | unknown' vs '(USCDI) male | female | other | unknown'
Warning | Patient.gender | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | Patient.gender | Element minimum cardinalities differ: '0' vs '1'
Information | StructureDefinition.short | Values for short differ: 'The date of birth for the individual' vs '(USCDI) The date of birth for the individual'
Warning | Patient.birthDate | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Indicates if the individual is deceased or not' vs '(USCDI) Indicates if the individual is deceased or not'
Information | StructureDefinition.short | Values for short differ: 'An address for the individual' vs '(USCDI) An address for the individual'
Warning | Patient.address | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'A language which may be used to communicate with the patient about his or her health' vs '(USCDI) A language which may be used to communicate with the patient about his or her health'
Information | StructureDefinition.short | Values for short differ: 'The language which can be used to communicate with the patient about his or her health' vs '(USCDI) The language which can be used to communicate with the patient about his or her health'
Warning | Patient.communication.language | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0 | Values Differ
copyright |  |
date | 2024-04-16T17:28:04+00:00 | 2026-08-13T02:29:19+10:00 | Values Differ
description | The goal of this profile is to describe a data-minimized version of Patient used to convey information about the Member who has health insurance coverage. Information that would normally not appear on a health insurance card is not required. The use of this profile is only approved for conveying information related to a health insurance card as part of this IG. |
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | C4DICPatient |
publisher | HL7 International / Payer/Provider Information Exchange Work Group |
purpose |  |
status | active |
title | C4DIC Patient |
type | Patient |
url | http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient |
version | 1.1.0 | 2.0.0-ballot | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual who has health insurance coverage |  | 0..* | USCorePatientProfile(6.1.0) | Information about an individual who has health insurance coverage |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | S Σ | 1..1 | Meta | Metadata about the resource | S Σ | 1..1 | Meta | Metadata about the resource |
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 |
versionId | Σ | 0..1 | id | Version specific identifier | Σ | 0..1 | id | Version specific identifier |
lastUpdated | S Σ | 1..1 | instant | When the resource version last changed | S Σ | 1..1 | instant | When the resource version last changed |
source | Σ | 0..1 | uri | Identifies where the resource comes from | Σ | 0..1 | uri | Identifies where the resource comes from |
Slices for profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by pattern:$this | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by pattern:$this |
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
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 | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | An identifier for this patient | S Σ | 1..* | Identifier | (USCDI) An identifier for this patient | Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
use |  |  |  |  | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | Added this element
type |  |  |  |  | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | Added this element
system |  |  |  |  | S Σ | 1..1 | uri | (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | Added this element
value |  |  |  |  | S Σ | 1..1 | string | (USCDI) The value that is unique within the system. Example General: 123456 | Added this element
period |  |  |  |  | Σ | 0..1 | Period | Time period when id is/was valid for use | Added this element
assigner |  |  |  |  | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | Added this element
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use |
name | S Σ | 1..1 | HumanName | A name associated with the patient | S Σ C | 1..1 | HumanName | (USCDI) A name associated with the patient |
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 |
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. | ?!Σ | 0..1 | code | (USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. |
text | Σ | 0..1 | string | Text representation of the full name | Σ | 0..1 | string | Text representation of the full name |
family | S Σ | 1..1 | string | Family name (often called 'Surname') | S Σ C | 1..1 | string | (USCDI) Family name (often called 'Surname') |
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | S Σ C | 0..* | string | (USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name |
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name |
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | Σ | 0..* | string | (USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name |
period | Σ | 0..1 | Period | Time period when name was/is in use | Σ | 0..1 | Period | (USCDI) Time period when name was/is in use |
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual | Σ | 0..* | ContactPoint | (USCDI) A contact detail for the individual |
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
system |  |  |  |  | S Σ C | 1..1 | code | (USCDI) phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point. | Added this element
value |  |  |  |  | S Σ | 1..1 | string | (USCDI) The actual contact point details | Added this element
use |  |  |  |  | ?!S Σ | 0..1 | code | (USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required) | Added this element
rank |  |  |  |  | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | Added this element
period |  |  |  |  | Σ | 0..1 | Period | Time period when the contact point was/is in use | Added this element
gender | Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. | S Σ | 1..1 | code | (USCDI) male | female | other | unknown Binding: ?? (required) | Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
birthDate | Σ | 0..1 | date | The date of birth for the individual | S Σ | 0..1 | date | (USCDI) The date of birth for the individual | Elements differ in definition for mustSupport: 'false' vs 'true'
deceased[x] | ?!Σ | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not | ?!Σ | 0..1 | boolean, dateTime | (USCDI) Indicates if the individual is deceased or not |
address | Σ | 0..* | Address | An address for the individual | S Σ | 0..* | Address | (USCDI) An address for the individual | Elements differ in definition for mustSupport: 'false' vs 'true'
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
use |  |  |  |  | ?!Σ | 0..1 | code | (USCDI) home | work | temp | old | billing - purpose of this address Binding: ?? (required): The use of an address. Example General: home | Added this element
type |  |  |  |  | Σ | 0..1 | code | postal | physical | both Binding: ?? (required): The type of an address (physical / postal). Example General: both | Added this element
text |  |  |  |  | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | Added this element
line |  |  |  |  | S Σ | 0..* | string | (USCDI) Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | Added this element
city |  |  |  |  | S Σ | 0..1 | string | (USCDI) Name of city, town etc. Example General: Erewhon | Added this element
district |  |  |  |  | Σ | 0..1 | string | District name (aka county) Example General: Madison | Added this element
state |  |  |  |  | S Σ | 0..1 | string | (USCDI) Sub-unit of country (abbreviations ok) Binding: ?? (extensible): Two Letter USPS alphabetic codes. | Added this element
postalCode |  |  |  |  | S Σ | 0..1 | string | (USCDI) US Zip Codes Example General: 9132 | Added this element
country |  |  |  |  | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | Added this element
period |  |  |  |  | Σ | 0..1 | Period | (USCDI) Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | Added this element
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. |
multipleBirth[x] |  | 0..1 | boolean, integer | Whether patient is part of a multiple birth |  | 0..1 | boolean, integer | Whether patient is part of a multiple birth |
photo |  | 0..* | Attachment | Image of the patient |  | 0..* | Attachment | Image of the patient |
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient |
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 |
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. |
name |  | 0..1 | HumanName | A name associated with the contact person |  | 0..1 | HumanName | A name associated with the contact person |
telecom |  | 0..* | ContactPoint | A contact detail for the person |  | 0..* | ContactPoint | A contact detail for the person |
address |  | 0..1 | Address | Address for the contact person |  | 0..1 | Address | Address for the contact person |
gender |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | C | 0..1 | Reference(Organization) | Organization that is associated with the contact |
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient |
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health |  | 0..* | BackboneElement | (USCDI) A language which may be used to communicate with the patient about his or her health |
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 |
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| S | 1..1 | CodeableConcept | (USCDI) The language which can be used to communicate with the patient about his or her health Binding: ?? (extensible) | Elements differ in definition for mustSupport: 'false' vs 'true'
preferred |  | 0..1 | boolean | Language preference indicator |  | 0..1 | boolean | Language preference indicator |
generalPractitioner |  | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider |  | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider |
managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record |
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person |
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 |
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to |
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. |
Documentation for this format