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

Left:US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
Right:C4DIC Patient (http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient' vs 'http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient'
ErrorStructureDefinition.versionValues for version differ: '4.1.0' vs '0.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCorePatientProfile' vs 'C4DICPatient'
InformationStructureDefinition.titleValues for title differ: 'US Core Patient Profile' vs 'C4DIC Patient'
InformationStructureDefinition.dateValues for date differ: '2020-06-27' vs '2021-12-06T22:19:18+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 Payer/Provider Information Exchange Working Group (PIE WG)'
WarningPatientElements differ in short: 'Information about an individual or animal receiving health care services' 'Information about an individual who has health insurance coverage'
WarningPatientElements differ in definition: 'The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.' 'Demographics and other administrative information about an individual with insurance coverage provided by a health plan.'
ErrorPatient.metaElements differ in definition for mustSupport: 'false' 'true'
WarningPatient.meta.lastUpdatedElements differ in comments: 'This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read] interaction.' 'Defines the date the Resource was created or updated, whichever comes last. Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last.'
ErrorPatient.meta.lastUpdatedElements differ in definition for mustSupport: 'false' 'true'
WarningPatient.meta.profileElements differ in comments: 'It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.' 'meta.profile is required as a matter of convenience of receiving systems. The meta.profile should be used by the Server to hint/assert/declare that this instance conforms to one (or more) stated profiles (with business versions). meta.profile does not capture any business logic, processing directives, or semantics (for example, inpatient or outpatient). Clients should not assume that the Server will exhaustively indicate all profiles with all versions that this instance conforms to. Clients can (and should) perform their own validation of conformance to the indicated profile(s) and to any other profiles of interest.'
WarningPatient.extensionElements differ in short: 'Extension' 'Additional content defined by implementations'
WarningPatient.extensionElements differ in definition: 'An Extension' '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.'
ErrorPatient.identifierElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.identifier.systemElements differ in definition for mustSupport: 'true' 'false'
WarningPatient.identifier.valueElements differ in short: 'The value that is unique within the system.' 'The value that is unique'
ErrorPatient.identifier.valueElements differ in definition for mustSupport: 'true' 'false'
WarningPatient.name.familyElements differ in comments: 'Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).' 'Where an individual has only one name, payers SHALL provide the information as family name to ensure consistency.'
ErrorPatient.telecom.systemElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.telecom.valueElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.telecom.useElements differ in definition for mustSupport: 'true' 'false'
WarningPatient.genderElements differ in comments: '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.' 'MAY be excluded. Gender is not a data element typically found on physical insurance cards. Furthermore, self-identified gender may change over time. Including this element could create a situation where the gender element in the provided resource does not match that in another form of identification or does not match the member's self-identified gender.'
ErrorPatient.genderElements differ in definition for mustSupport: 'true' 'false'
WarningPatient.birthDateElements differ in comments: 'At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension 'patient-birthTime' available that should be used where Time is required (such as in maternity/infant care systems).' 'MAY be excluded. This data element is printed on some physical insurance cards, but not all.'
ErrorPatient.birthDateElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.addressElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.address.lineElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.address.cityElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.address.stateElements differ in definition for mustSupport: 'true' 'false'
WarningPatient.address.postalCodeElements differ in short: 'US Zip Codes' 'Postal code for area'
ErrorPatient.address.postalCodeElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.address.periodElements differ in definition for mustSupport: 'true' 'false'
ErrorPatient.communication.languageElements differ in definition for mustSupport: 'true' 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Patient
      .copyrightUsed 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'
      .date2020-06-272021-12-06T22:19:18+00:00
      • Values Differ
      .descriptionDefines constraints and extensions on the patient resource for the minimal set of data to query and retrieve patient demographic information.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.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCorePatientProfileC4DICPatient
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 Payer/Provider Information Exchange Working Group (PIE WG)
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Patient ProfileC4DIC Patient
                  • Values Differ
                  .typePatient
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-patienthttp://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient
                    • Values Differ
                    .version4.1.00.1.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Patient
                    • Elements differ in short: "Information about an individual or animal receiving health care services" "Information about an individual who has health insurance coverage"
                    • Elements differ in definition: "The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set." "Demographics and other administrative information about an individual with insurance coverage provided by a health plan."
                    ... id ΣΣ
                      ... meta ΣSΣ
                      • Elements differ in definition for mustSupport: "false" "true"
                      .... id
                        .... Slices for extension ExtensionExtension
                          .... versionId ΣΣ
                            .... lastUpdated ΣSΣ
                            • Elements differ in comments: "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read] interaction." "Defines the date the Resource was created or updated, whichever comes last. Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last."
                            • Elements differ in definition for mustSupport: "false" "true"
                            .... source ΣΣ
                              .... profile ΣΣ
                              • Elements differ in comments: "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set." "meta.profile is required as a matter of convenience of receiving systems. The meta.profile should be used by the Server to hint/assert/declare that this instance conforms to one (or more) stated profiles (with business versions). meta.profile does not capture any business logic, processing directives, or semantics (for example, inpatient or outpatient). Clients should not assume that the Server will exhaustively indicate all profiles with all versions that this instance conforms to. Clients can (and should) perform their own validation of conformance to the indicated profile(s) and to any other profiles of interest."
                              .... security ΣΣ
                                .... tag ΣΣ
                                  ... implicitRules ?!Σ?!Σ
                                    ... text
                                      ... contained
                                        ... Slices for extension ExtensionExtension
                                        • Elements differ in short: "Extension" "Additional content defined by implementations"
                                        • Elements differ in definition: "An Extension" "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."
                                        ... modifierExtension ?!?!
                                          ... identifier SΣΣ
                                          • Elements differ in definition for mustSupport: "true" "false"
                                          .... id
                                            .... Slices for extension ExtensionExtension
                                              .... use ?!Σ?!Σ
                                                .... type ΣΣ
                                                  .... system SΣΣ
                                                  • Elements differ in definition for mustSupport: "true" "false"
                                                  .... value SΣΣ
                                                  • Elements differ in short: "The value that is unique within the system." "The value that is unique"
                                                  • Elements differ in definition for mustSupport: "true" "false"
                                                  .... period ΣΣ
                                                    .... assigner ΣΣ
                                                      ... active ?!Σ?!Σ
                                                        ... name SΣISΣ
                                                          .... id
                                                            .... Slices for extension ExtensionExtension
                                                              .... use ?!Σ?!Σ
                                                                .... text ΣΣ
                                                                  .... family SΣISΣ
                                                                  • Elements differ in comments: "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures)." "Where an individual has only one name, payers SHALL provide the information as family name to ensure consistency."
                                                                  .... given SΣISΣ
                                                                    .... prefix ΣΣ
                                                                      .... suffix ΣΣ
                                                                        .... period ΣΣ
                                                                          ... telecom ΣΣ
                                                                            .... id
                                                                              .... Slices for extension ExtensionExtension
                                                                                .... system SΣIΣI
                                                                                • Elements differ in definition for mustSupport: "true" "false"
                                                                                .... value SΣΣ
                                                                                • Elements differ in definition for mustSupport: "true" "false"
                                                                                .... use ?!SΣ?!Σ
                                                                                • Elements differ in definition for mustSupport: "true" "false"
                                                                                .... rank ΣΣ
                                                                                  .... period ΣΣ
                                                                                    ... gender SΣΣ
                                                                                    • Elements differ in comments: "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." "MAY be excluded. Gender is not a data element typically found on physical insurance cards. Furthermore, self-identified gender may change over time. Including this element could create a situation where the gender element in the provided resource does not match that in another form of identification or does not match the member's self-identified gender."
                                                                                    • Elements differ in definition for mustSupport: "true" "false"
                                                                                    ... birthDate SΣΣ
                                                                                    • Elements differ in comments: "At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems)." "MAY be excluded. This data element is printed on some physical insurance cards, but not all."
                                                                                    • Elements differ in definition for mustSupport: "true" "false"
                                                                                    ... deceased[x] ?!Σ?!Σ
                                                                                      ... address SΣΣ
                                                                                      • Elements differ in definition for mustSupport: "true" "false"
                                                                                      .... id
                                                                                        .... Slices for extension ExtensionExtension
                                                                                          .... use ?!Σ?!Σ
                                                                                            .... type ΣΣ
                                                                                              .... text ΣΣ
                                                                                                .... line SΣΣ
                                                                                                • Elements differ in definition for mustSupport: "true" "false"
                                                                                                .... city SΣΣ
                                                                                                • Elements differ in definition for mustSupport: "true" "false"
                                                                                                .... district ΣΣ
                                                                                                  .... state SΣΣ
                                                                                                  • Elements differ in definition for mustSupport: "true" "false"
                                                                                                  .... postalCode SΣΣ
                                                                                                  • Elements differ in short: "US Zip Codes" "Postal code for area"
                                                                                                  • Elements differ in definition for mustSupport: "true" "false"
                                                                                                  .... country ΣΣ
                                                                                                    .... period SΣΣ
                                                                                                    • Elements differ in definition for mustSupport: "true" "false"
                                                                                                    ... maritalStatus
                                                                                                      ... multipleBirth[x]
                                                                                                        ... photo
                                                                                                          ... contact II
                                                                                                            .... id
                                                                                                              .... extension ExtensionExtension
                                                                                                                .... modifierExtension ?!Σ?!Σ
                                                                                                                  .... relationship
                                                                                                                    .... name
                                                                                                                      .... telecom
                                                                                                                        .... address
                                                                                                                          .... gender
                                                                                                                            .... organization II
                                                                                                                              .... period
                                                                                                                                ... communication
                                                                                                                                  .... id
                                                                                                                                    .... extension ExtensionExtension
                                                                                                                                      .... modifierExtension ?!Σ?!Σ
                                                                                                                                        .... language S
                                                                                                                                        • Elements differ in definition for mustSupport: "true" "false"
                                                                                                                                        .... preferred
                                                                                                                                          ... generalPractitioner
                                                                                                                                            ... managingOrganization ΣΣ
                                                                                                                                              ... link ?!Σ?!Σ
                                                                                                                                                .... id
                                                                                                                                                  .... extension ExtensionExtension
                                                                                                                                                    .... modifierExtension ?!Σ?!Σ
                                                                                                                                                      .... other ΣΣ
                                                                                                                                                        .... type ΣΣ

                                                                                                                                                          doco Documentation for this format