Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference vs http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Reference

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DocumentReference
copyright	Used 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'
date	2020-07-02	2020-05-09	Values Differ
description	The document reference profile used in US Core.	The Death Certificate Reference profile is used to enable interested parties to assign local identifiers to the death certificate document. The Death Certificate Reference profile builds upon the FHIR Document Reference resource.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreDocumentReferenceProfile	DeathCertificateReference	Values Differ
publisher	HL7 International - Cross-Group Projects	Health Level Seven International	Values Differ
purpose
status	active	draft	Values Differ
title	US Core DocumentReference Profile	VRDR Death Certificate Reference	Values Differ
type	DocumentReference
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference	http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Death-Certificate-Reference	Values Differ
version	4.1.0	1.1.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
DocumentReference		0..*	DocumentReference	A reference to a document		0..*	DocumentReference	A reference to a document	Elements differ in definition: 'This is a basic constraint on DocumentRefernce for use in the US Core IG.' vs 'A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.'
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	string	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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
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	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	SΣ	0..*	Identifier	Other identifiers for the document	Σ	1..1	Identifier	identifier	Elements differ in short: 'Other identifiers for the document' vs 'identifier' Elements differ in definition: 'Other identifiers associated with the document, including version independent identifiers.' vs 'SHALL contain exactly one [1..1] identifier (CONF:4393-392).' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1' Element maximum cardinalities differ: '2147483647' vs '1'
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required)	?!Σ	1..1	code	status Binding: DocumentReferenceStatus (required): Document Type Value Set	Elements differ in short: 'current | superseded | entered-in-error' vs 'status' Elements differ in definition: 'The status of this document reference.' vs 'SHALL contain exactly one [1..1] status, which SHALL be selected from ValueSet DocumentReferenceStatus http://hl7.org/fhir/ValueSet/DocumentReferenceStatus DYNAMIC (CONF:4393-394).' Elements differ in definition for mustSupport: 'true' vs 'false'
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: US Core DocumentReference Type (required) Min Binding: US Core Clinical Note Type: All LOINC values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'	Σ	1..1	CodeableConcept	type Binding: DocumentTypeValueSet (preferred): Precise type of clinical document. Fixed Value: {"coding":[{"system":"http://loinc.org","code":"64297-5","display":"Death certificate"}]}	Elements differ in short: 'Kind of document (LOINC if possible)' vs 'type' Elements differ in definition: 'Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.' vs 'SHALL contain exactly one [1..1] type=""64297-5""(CONF:4393-396).' Elements differ in definition for mustSupport: 'true' vs 'false' Elements differ in binding.description: 'All LOINC values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'' vs 'Precise type of clinical document.'
Slices for category	SΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.	Σ	0..*	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who/what is the subject of the document	Σ	0..1	Reference(Patient | Practitioner | Group | Device)	Who/what is the subject of the document	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
date	SΣ	0..1	instant	When this document reference was created	Σ	1..1	instant	When this document reference was created	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
author	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core Related Person | Device)	Who and/or what authored the document	Σ	1..1	Reference(VRDR Interested Party)	author	Elements differ in short: 'Who and/or what authored the document' vs 'author' Elements differ in definition: 'Identifies who is responsible for adding the information to the document.' vs 'SHALL contain exactly one [1..1] author="VRDR Interested Party"(CONF:4393-390).' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1' Element maximum cardinalities differ: '2147483647' vs '1' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Interested-Party]])
authenticator		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents	Σ	0..*	BackboneElement	Relationships to other documents
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
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description	Σ	0..1	string	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..*	BackboneElement	Document referenced	Σ	1..1	BackboneElement	Document referenced	Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '2147483647' vs '1'
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
attachment	SΣI	1..1	Attachment	Where to access the document us-core-6: DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.	Σ	1..1	Attachment	Where to access the document	Elements differ in definition for mustSupport: 'true' vs 'false'
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
contentType	SΣ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png	Elements differ in definition for mustSupport: 'true' vs 'false'
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. Example General: en-AU	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. Example General: en-AU
data	SI	0..1	base64Binary	Data inline, base64ed		0..1	base64Binary	Data inline, base64ed	Elements differ in definition for mustSupport: 'true' vs 'false'
url	SΣI	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png	Σ	1..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created	Σ	0..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (extensible)	Σ	0..1	Coding	Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.	Elements differ in definition for mustSupport: 'true' vs 'false'
context	SΣ	0..1	BackboneElement	Clinical context of document	Σ	0..1	BackboneElement	Clinical context of document	Elements differ in definition for mustSupport: 'true' vs 'false'
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
encounter	S	0..1	Reference(US Core Encounter Profile)	Context of the document content		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content	Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '1' vs '2147483647'
event		0..*	CodeableConcept	Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.		0..*	CodeableConcept	Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	SΣ	0..1	Period	Time of service that is being documented	Σ	0..1	Period	Time of service that is being documented	Elements differ in definition for mustSupport: 'true' vs 'false'
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.		0..1	CodeableConcept	Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo		0..1	Reference(Patient)	Patient demographics from source		0..1	Reference(Patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format