Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Observation|4.0.1	http://hl7.org/fhir/StructureDefinition/Observation	Values Differ
copyright
date	2024-06-19T10:50:07-05:00	2024-03-25	Values Differ
description	This profile constrains the Observation resource to represent alcohol use assessment in a patient summary.	The US Core Average Blood Pressure Profile inherits from the [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for recording, searching, and fetching average diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It specifies which 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
experimental		false	Added the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction / jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction / jurisdiction[1]		urn:iso:std:iso:3166#US	Added the item 'urn:iso:std:iso:3166#US'
kind	resource
name	ObservationAlcoholUseUvIps	USCoreAverageBloodPressureProfile	Values Differ
publisher	HL7 International / Patient Care	HL7 International / Cross-Group Projects	Values Differ
purpose
status	active
title	Observation Social History - Alcohol Use (IPS)	US Core Average Blood Pressure Profile	Values Differ
type	Observation
url	http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips	http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure	Values Differ
version	2.0.1	10.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Observation	C	0..*	Observation(4.0.1)	Measurements and simple assertions	C	0..*	Observation	US Core Average Blood Pressure Profile
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.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
Observation.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
Observation.contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Observation.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order	Σ This element is included in summaries.	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event	Σ 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. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation.	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation.	Elements differ in definition for mustSupport: 'false' vs 'true'
Observation.category		0..*	CodeableConcept	Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories.	S This element must be supported.	1..*	CodeableConcept	Classification 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	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
Observation.code	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	??	Type of observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "74013-4" } ] } Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Blood Pressure Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "96607-7" } ] }
Observation.subject	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	Reference(Patient (IPS)(2.0.1))	Who and/or what the observation is about Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile)	Who and/or what the observation is about
Observation.subject.id		0..1	string	Unique id for inter-element referencing					Removed this element
Observation.subject.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Observation.subject.reference	SO This element has obligations and must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)					Removed this element
Observation.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
Observation.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
Observation.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource					Removed this element
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record	Σ 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	Σ This element is included in summaries.	0..1	Reference(Encounter)	Healthcare event during which this observation is made	Σ This element is included in summaries.	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Observation.effective[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	dateTime	Clinically relevant time/time-period for observation Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime, Period S This type must be supported.	clinically relevant time-period for the average of blood pressure (BP) readings
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation	S This element must be supported. Σ 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.Slices for value[x]	Σ This element is included in summaries. C	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them	Σ This element is included in summaries. C	0..0		Actual result	Element maximum cardinalities differ: '1' vs '0'
Observation.dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	C	0..1	CodeableConcept	Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations.		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality.		0..1	CodeableConcept	Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ?? (example): Methods for simple observations.		0..1	CodeableConcept	How it was done Binding: ?? (example): Methods for simple observations.
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation		0..1	Reference(Specimen)	Specimen used for this observation
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation	C	0..*	BackboneElement	Provides guide for interpretation
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	??	Low Range, if relevant	C	0..1	??	Low Range, if relevant
Observation.referenceRange.high	C	0..1	??	High Range, if relevant	C	0..1	??	High Range, if relevant
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range.		0..1	CodeableConcept	Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to.		0..*	CodeableConcept	Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group	Σ This element is included in summaries.	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from	Σ This element is included in summaries.	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Observation.component	Σ This element is included in summaries.	0..0		Component results	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	Average systolic and diastolic blood pressure and other qualifiers. Slice: Unordered, Open by value:code Constraints: us-core-26 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '2' Element maximum cardinalities differ: '0' vs '2147483647' Element minimum cardinalities conflict: '0..0' vs '2..2147483647': No instances can be valid against both profiles
Observation.component.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Observation.component.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Observation.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.component.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations.	Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations.
Observation.component.value[x]	Σ This element is included in summaries.	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity S This type must be supported. , CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Vital Sign Component Value	Elements differ in definition for mustSupport: 'false' vs 'true'
Observation.component.dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	Elements differ in definition for mustSupport: 'false' vs 'true'
Observation.component.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations.		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format