Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry

Left:US Core Pulse Oximetry Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry)
Right:US Core Pulse Oximetry Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.0.0' vs '10.0.0-ballot'
InformationStructureDefinition.dateValues for date differ: '2020-11-18' vs '2023-10-17'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.definitionValues for definition differ: 'Defines constraints on the Observation resource to represent inspired O2 by pulse oximetry and inspired oxygen concentration observations with a standard LOINC codes and UCUM units of measure. This profile is derived from the US Core Vital Signs Profile.' vs 'The FHIR Vitals Signs profile sets minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient.'
InformationObservation.languageExample/preferred bindings differ at Observation.language using binding from USCorePulseOximetryProfile
InformationObservation.categoryExample/preferred bindings differ at Observation.category using binding from USCorePulseOximetryProfile
InformationObservation.code.codingElement minimum cardinalities differ: '0' vs '2'
WarningObservation.performerElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.referenceRange.typeExample/preferred bindings differ at Observation.referenceRange.type using binding from USCorePulseOximetryProfile
InformationStructureDefinition.shortValues for short differ: 'Type of component observation (code / type)' vs 'Coded vital sign result type'

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs
      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'
      date2020-11-182023-10-17
      • Values Differ
      descriptionDefines constraints on the Observation resource to represent inspired O2 by pulse oximetry and inspired oxygen concentration observations with a standard LOINC codes and UCUM units of measure. This profile is derived from the US Core Vital Signs Profile.The US Core Pulse Oximetry Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch pulse oximetry and inspired oxygen observations with standard LOINC codes and UCUM units of measure. It specifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
      • Values Differ
      experimentalfalse
        fhirVersion4.0.1
          jurisdiction
            jurisdiction / jurisdiction[0]urn:iso:std:iso:3166#US
              kindresource
                nameUSCorePulseOximetryProfile
                  publisherHL7 International - US Realm Steering CommitteeHL7 International / Cross-Group Projects
                  • Values Differ
                  purpose
                    statusactive
                      titleUS Core Pulse Oximetry Profile
                        typeObservation
                          urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry
                            version4.0.010.0.0-ballot
                            • Values Differ

                            Structure

                            NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                            Observation C0..*USCoreVitalSignsProfileUS Core Pulse Oximetry Profile
                            C0..*USCoreVitalSignsProfileUS Core Pulse Oximetry Profile
                              Observation.id This element is included in summaries. 0..1stringLogical id of this artifact This element is included in summaries. 0..1idLogical id of this artifact
                                Observation.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                                  Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
                                    Observation.language 0..1codeLanguage of the resource content
                                    Binding: ?? (preferred): A human language.
                                    Additional BindingsPurpose
                                    ??Max Binding
                                    0..1codeLanguage of the resource content
                                    Binding: ?? (preferred): A human language.
                                    Additional BindingsPurpose
                                    ??Max Binding
                                    • Example/preferred bindings differ at Observation.language using binding from USCorePulseOximetryProfile
                                    Observation.text 0..1NarrativeText 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..1NarrativeText summary of the resource, for human interpretation
                                    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                      Observation.contained 0..*ResourceContained, inline Resources
                                      0..*ResourceContained, inline Resources
                                        Observation.extension 0..*ExtensionAdditional content defined by implementations
                                        0..*ExtensionAdditional content defined by implementations
                                          Observation.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                          This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                            Observation.identifier This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                            This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                              Observation.basedOn This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                              This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                Observation.partOf This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                  Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                                  Binding: ?? (required)
                                                  This element is a modifier element. This element must be supported. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                                  Binding: ?? (required)
                                                    Observation.Slices for category This element must be supported. 1..*CodeableConceptClassification of type of observation
                                                    Slice: Unordered, Open by value:coding.code, value:coding.system
                                                    Binding: ?? (preferred): Codes for high level observation categories.

                                                    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                    This element must be supported. 1..*CodeableConceptClassification of type of observation
                                                    Slice: Unordered, Open by value:coding.code, value:coding.system
                                                    Binding: ?? (preferred): Codes for high level observation categories.

                                                    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                    • Example/preferred bindings differ at Observation.category using binding from USCorePulseOximetryProfile
                                                    Observation.code This element must be supported. This element is included in summaries. 1..1CodeableConceptOxygen Saturation by Pulse Oximetry
                                                    Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.
                                                    This element must be supported. This element is included in summaries. 1..1CodeableConceptOxygen Saturation by Pulse Oximetry
                                                    Binding: ?? (extensible): Vital sign result types
                                                      Observation.code.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                        Observation.code.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                        Slice: Unordered, Open by value:url
                                                        0..*ExtensionAdditional content defined by implementations
                                                        Slice: Unordered, Open by value:url
                                                          Observation.code.Slices for coding This element must be supported. This element is included in summaries. 0..*CodingCode defined by a terminology system
                                                          Slice: Unordered, Open by pattern:$this

                                                          Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                          This element must be supported. This element is included in summaries. 2..*CodingCode defined by a terminology system
                                                          Slice: Unordered, Open by value:$this

                                                          Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                          • Element minimum cardinalities differ: '0' vs '2'
                                                          Observation.code.text This element is included in summaries. 0..1stringPlain text representation of the concept This element is included in summaries. 0..1stringPlain text representation of the concept
                                                            Observation.subject This element must be supported. This element is included in summaries. 1..1Reference(US Core Patient Profile)Who and/or what the observation is about This element must be supported. This element is included in summaries. 1..1Reference(US Core Patient Profile)Who and/or what the observation is about
                                                              Observation.focus This element is included in summaries. TU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                              This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                Observation.encounter This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made
                                                                  Observation.effective[x] This element must be supported. This element is included in summaries. C1..1dateTime This type must be supported. , PeriodOften just a dateTime for Vital Signs This element must be supported. This element is included in summaries. C1..1dateTime This type must be supported. , PeriodOften just a dateTime for Vital Signs
                                                                    Observation.issued This element is included in summaries. 0..1instantDate/Time this version was made available This element is included in summaries. 0..1instantDate/Time this version was made available
                                                                      Observation.performer This element is included in summaries. 0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                      This element must be supported. This element is included in summaries. 0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                      Observation.value[x] This element must be supported. This element is included in summaries. C0..1Quantity This type must be supported. , CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Signs Value
                                                                      Binding: ?? (extensible): Common UCUM units for recording Vital Signs.
                                                                      This element must be supported. This element is included in summaries. C0..1Quantity This type must be supported. , CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Signs Value
                                                                      Slice: Unordered, Closed by type:$this
                                                                      Binding: ?? (extensible): Common UCUM units for recording Vital Signs.
                                                                      Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
                                                                        Observation.dataAbsentReason This element must be supported. C0..1CodeableConceptWhy the result is missing
                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                        This element must be supported. C0..1CodeableConceptWhy the result is missing
                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                          Observation.interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                          0..*CodeableConceptHigh, low, normal, etc.
                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                            Observation.note 0..*AnnotationComments about the observation
                                                                            0..*AnnotationComments about the observation
                                                                              Observation.bodySite 0..1CodeableConceptObserved body part
                                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                              0..1CodeableConceptObserved body part
                                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                                Observation.method 0..1CodeableConceptHow it was done
                                                                                Binding: ?? (example): Methods for simple observations.
                                                                                0..1CodeableConceptHow it was done
                                                                                Binding: ?? (example): Methods for simple observations.
                                                                                  Observation.specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                                                    Observation.device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                                      Observation.referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                                      Constraints: obs-3
                                                                                      C0..*BackboneElementProvides guide for interpretation
                                                                                        Observation.referenceRange.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                          Observation.referenceRange.extension 0..*ExtensionAdditional content defined by implementations
                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                            Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                            This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                              Observation.referenceRange.low C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellLow Range, if relevantC0..1??Low Range, if relevant
                                                                                                Observation.referenceRange.high C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellHigh Range, if relevantC0..1??High Range, if relevant
                                                                                                  Observation.referenceRange.type 0..1CodeableConceptReference range qualifier
                                                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                  0..1CodeableConceptReference range qualifier
                                                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                  • Example/preferred bindings differ at Observation.referenceRange.type using binding from USCorePulseOximetryProfile
                                                                                                  Observation.referenceRange.appliesTo 0..*CodeableConceptReference range population
                                                                                                  Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                  0..*CodeableConceptReference range population
                                                                                                  Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                    Observation.referenceRange.age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                                      Observation.referenceRange.text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                                        Observation.hasMember This element is included in summaries. 0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                                        This element is included in summaries. 0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                                          Observation.derivedFrom This element is included in summaries. 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                                                          This element is included in summaries. 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                                                            Observation.Slices for component This element must be supported. This element is included in summaries. C0..*BackboneElementUsed when reporting flow rates or oxygen concentration.
                                                                                                            Slice: Unordered, Open by pattern:code

                                                                                                            Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                                                            This element must be supported. This element is included in summaries. C0..*BackboneElementUsed when reporting flow rates or oxygen concentration.
                                                                                                            Slice: Unordered, Open by value:code

                                                                                                            Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                                                              Observation.Slices for component.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                Observation.Slices for component.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                  Observation.Slices for component.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                  This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                    Observation.Slices for component.code This element must be supported. This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                                    Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.
                                                                                                                    This element must be supported. This element is included in summaries. 1..1CodeableConceptCoded vital sign result type
                                                                                                                    Binding: ?? (extensible): Vital sign result types
                                                                                                                      Observation.Slices for component.value[x] This element must be supported. This element is included in summaries. C0..1Quantity This type must be supported. , CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component Value
                                                                                                                      Binding: ?? (extensible): Common UCUM units for recording Vital Signs.
                                                                                                                      This element must be supported. This element is included in summaries. C0..1Quantity This type must be supported. , CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component Value
                                                                                                                      Binding: ?? (extensible): Common UCUM units for recording Vital Signs.
                                                                                                                        Observation.Slices for component.dataAbsentReason This element must be supported. C0..1CodeableConceptWhy the component result is missing
                                                                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                        This element must be supported. C0..1CodeableConceptWhy the component result is missing
                                                                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                          Observation.Slices for component.interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                          0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                            Observation.Slices for component.referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                                            0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                                              doco Documentation for this format