Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.0.0' vs '7.0.0'
InformationStructureDefinition.dateValues for date differ: '2020-06-27' vs '2023-10-17'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result'
InformationStructureDefinition.definitionValues for definition differ: 'This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
InformationStructureDefinition.definitionValues for definition differ: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
InformationStructureDefinition.commentValues for comment differ: 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.' vs 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.'
InformationStructureDefinition.shortValues for short differ: 'Healthcare event during which this observation is made' vs 'Encounter associated with Observation'
WarningObservation.encounterElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.definitionValues for definition differ: 'For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.'
InformationStructureDefinition.shortValues for short differ: 'High, low, normal, etc.' vs 'Result interpretation'
InformationStructureDefinition.commentValues for comment differ: 'Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.' vs 'Categorical assessment of a laboratory value, often in relation to a test's reference range. Examples include but are not limited to high, low, critical, and normal.'
WarningObservation.interpretationElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.specimenElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Provides guide for interpretation' vs 'Result reference range'
InformationStructureDefinition.commentValues for comment differ: 'Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.' vs 'Upper and lower limit of test values expected for a designated population of individuals. Reference range values may differ by patient characteristics, laboratory test manufacturer and laboratory test performer.'
WarningObservation.referenceRangeElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.commentValues for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result
    • Values Differ
    .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
      .date2020-06-272023-10-17
      • Values Differ
      .descriptionDefines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve laboratory test resultsThe US Core Laboratory Result Observation Profile is based upon the US Core Observation Clinical Result Profile and, along with the US Core DiagnosticReport Profile for Laboratory Results Reporting, meets the U.S. Core Data for Interoperability (USCDI) Laboratory requirements. Laboratory results are grouped and summarized using the DiagnosticReport resource, which references Observation resources. Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) that references other observations, or rarely a laboratory test with component result values. The US Core Laboratory Result Observation Profile sets minimum expectations for the Observation resource to record, search, and fetch laboratory test results associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.
      • Values Differ
      .experimentalfalse
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreLaboratoryResultObservationProfile
                  .publisherHL7 International - US Realm Steering CommitteeHL7 International / Cross-Group Projects
                  • Values Differ
                  .purpose
                    .statusactive
                      .titleUS Core Laboratory Result Observation Profile
                        .typeObservation
                          .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
                            .version4.0.07.0.0
                            • Values Differ

                            Structure

                            NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                            .. Observation C0..*ObservationMeasurements and simple assertions
                            obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                            obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                            us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                            C0..*USCoreObservationClinicalResultProfileMeasurements and simple assertions
                            obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                            obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                            us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                              ... id Σ0..1stringLogical id of this artifactΣ0..1idLogical id of this artifact
                                ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                  ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                    ... 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
                                      ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                        ... contained 0..*ResourceContained, inline Resources
                                        0..*ResourceContained, inline Resources
                                          ... extension 0..*ExtensionAdditional content defined by implementations
                                          0..*ExtensionAdditional content defined by implementations
                                            ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                            ?!0..*ExtensionExtensions that cannot be ignored
                                              ... identifier Σ0..*IdentifierBusiness Identifier for observation
                                              Σ0..*IdentifierBusiness Identifier for observation
                                                ... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                  ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                  Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                    ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                                    Binding: ?? (required)
                                                    ?!SΣ1..1coderegistered | preliminary | final | amended +
                                                    Binding: ?? (required): Codes providing the status of an observation.

                                                      ... Slices for category S1..*CodeableConceptClassification of type of observation
                                                      Slice: Unordered, Open by pattern:$this
                                                      Binding: ?? (preferred): Codes for high level observation categories.


                                                      S1..*CodeableConceptClassification of type of observation
                                                      Slice: Unordered, Open by pattern:$this
                                                      Binding: ?? (preferred): Codes for high level observation categories.


                                                        ... code SΣ1..1CodeableConceptLaboratory Test Name
                                                        Binding: ?? (extensible): LOINC codes

                                                        SΣ1..1CodeableConceptLaboratory Test Name
                                                        Binding: ?? (extensible): Laboratory LOINC Codes

                                                          ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)Who and/or what the observation is about
                                                            ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                            Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                              ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeSΣ0..1Reference(US Core Encounter Profile)Encounter associated with Observation
                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                              ... effective[x] SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                                              us-core-1: Datetime must be at least to day.
                                                              SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                                              us-core-1: Datetime must be at least to day.
                                                                ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                                  ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                  Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                    ... value[x] SΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
                                                                    us-core-4: SHOULD use Snomed CT for coded Results
                                                                    us-core-3: SHALL use UCUM for coded quantity units.
                                                                    SΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
                                                                    us-core-3: SHALL use UCUM for coded quantity units.
                                                                    us-core-4: SHOULD use Snomed CT for coded Results
                                                                      ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                                      Binding: ?? (extensible)
                                                                      SC0..1CodeableConceptWhy the result is missing
                                                                      Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                        ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                        Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                        S0..*CodeableConceptResult interpretation
                                                                        Binding: ?? (extensible): Observation Interpretation Codes


                                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                        ... note 0..*AnnotationComments about the observation
                                                                        0..*AnnotationComments about the 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.

                                                                            ... method 0..1CodeableConceptHow it was done
                                                                            Binding: ?? (example): Methods for simple observations.

                                                                            0..1CodeableConceptHow it was done
                                                                            Binding: ?? (example): Methods for simple observations.

                                                                              ... specimen 0..1Reference(Specimen)Specimen used for this observationS0..1Reference(US Core Specimen Profile)Specimen used for this observation
                                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                              ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                                ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                                obs-3: Must have at least a low or a high or text
                                                                                SC0..*BackboneElementResult reference range
                                                                                obs-3: Must have at least a low or a high or text
                                                                                us-core-22: SHALL use UCUM for coded quantity units.
                                                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                      .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                                        .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                                          .... 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.

                                                                                            .... 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.


                                                                                              .... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                                .... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                                  ... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                  Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                    ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                    Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                      ... component Σ0..*BackboneElementComponent results
                                                                                                      Σ0..*BackboneElementComponent results
                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                              .... code Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                              Binding: ?? (example): Codes identifying names of simple observations.

                                                                                                              Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                              Binding: ?? (example): Codes identifying names of simple observations.

                                                                                                                .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                                  .... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                                  C0..1CodeableConceptWhy the component result is missing
                                                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                                    .... 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.


                                                                                                                      .... 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