## Profile Comparison between http://hl7.org.nz/fhir/StructureDefinition/NzCoverage vs http://hl7.org.nz/fhir/StructureDefinition/NzCoverage

Left: | Coverage resource for use in NZ (Trial use) (http://hl7.org.nz/fhir/StructureDefinition/NzCoverage)
Right: | Coverage resource for use in NZ (Trial use) (http://hl7.org.nz/fhir/StructureDefinition/NzCoverage)

### Messages

Information | StructureDefinition.date | Values for date differ: '2024-08-14T09:20:22+12:00' vs '2026-07-24T15:52:23+12:00'
Information | StructureDefinition.jurisdiction | Added the item 'null#null'
Information | Coverage.language | Example/preferred bindings differ at Coverage.language using binding from NzCoverage

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Coverage |
copyright |  |
date | 2024-08-14T09:20:22+12:00 | 2026-07-24T15:52:23+12:00 | Values Differ
description | Coverage resource for use in NZ (Trial use) |
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] |  | null#null | Added the item 'null#null'
kind | resource |
name | NzCoverage |
publisher | HL7 New Zealand |
purpose | Trial use profile on Coverage for NZ use. Primarily changing the type valueset. Inclusion of the profile in future IG versions will depend on Implementer feedback. |
status | draft |
title | Coverage resource for use in NZ (Trial use) |
type | Coverage |
url | http://hl7.org.nz/fhir/StructureDefinition/NzCoverage |
version | 1.0.0 |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Coverage |  | 0..* | Coverage | Insurance or medical plan or a payment agreement |  | 0..* | Coverage | Insurance or medical plan or a payment agreement |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | 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: ?? (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
| Example/preferred bindings differ at Coverage.language using binding from NzCoverage
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 | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business Identifier for the coverage | Σ | 0..* | Identifier | Business Identifier for the coverage |
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. |
type | Σ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: ?? (extensible) | Σ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: ?? (extensible) |
policyHolder | Σ | 0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy | Σ | 0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy |
subscriber | Σ | 0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy | Σ | 0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy |
subscriberId | Σ | 0..1 | string | ID assigned to the subscriber | Σ | 0..1 | string | ID assigned to the subscriber |
beneficiary | Σ | 1..1 | Reference(Patient) | Plan beneficiary | Σ | 1..1 | Reference(Patient) | Plan beneficiary |
dependent | Σ | 0..1 | string | Dependent number | Σ | 0..1 | string | Dependent number |
relationship |  | 0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). |  | 0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). |
period | Σ | 0..1 | Period | Coverage start and end dates | Σ | 0..1 | Period | Coverage start and end dates |
payor | Σ | 1..* | Reference(Organization | Patient | RelatedPerson) | Issuer of the policy | Σ | 1..* | Reference(Organization | Patient | RelatedPerson) | Issuer of the policy |
class |  | 0..* | BackboneElement | Additional coverage classifications |  | 0..* | BackboneElement | Additional coverage classifications |
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 |
type | Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible) | Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible) |
value | Σ | 1..1 | string | Value associated with the type | Σ | 1..1 | string | Value associated with the type |
name | Σ | 0..1 | string | Human readable description of the type and value | Σ | 0..1 | string | Human readable description of the type and value |
order | Σ | 0..1 | positiveInt | Relative order of the coverage | Σ | 0..1 | positiveInt | Relative order of the coverage |
network | Σ | 0..1 | string | Insurer network | Σ | 0..1 | string | Insurer network |
costToBeneficiary |  | 0..* | BackboneElement | Patient payments for services/products |  | 0..* | BackboneElement | Patient payments for services/products |
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 |
type | Σ | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. | Σ | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. |
value[x] | Σ | 1..1 | ??, Money | The amount or percentage due from the beneficiary | Σ | 1..1 | ??, Money | The amount or percentage due from the beneficiary |
exception |  | 0..* | BackboneElement | Exceptions for patient payments |  | 0..* | BackboneElement | Exceptions for patient payments |
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 |
type | Σ | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. | Σ | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. |
period | Σ | 0..1 | Period | The effective period of the exception | Σ | 0..1 | Period | The effective period of the exception |
subrogation |  | 0..1 | boolean | Reimbursement to insurer |  | 0..1 | boolean | Reimbursement to insurer |
contract |  | 0..* | Reference(Contract) | Contract details |  | 0..* | Reference(Contract) | Contract details |
Documentation for this format