Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-adi-documentation vs http://hl7.org/fhir/us/bser/StructureDefinition/bser-referral-observation

Left:US Core Observation ADI Documentation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-adi-documentation)
Right:BSeR Referral Observation (http://hl7.org/fhir/us/bser/StructureDefinition/bser-referral-observation)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-adi-documentation' vs 'http://hl7.org/fhir/us/bser/StructureDefinition/bser-referral-observation'
ErrorStructureDefinition.versionValues for version differ: '8.0.0-ballot' vs '2.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationADIDocumentationProfile' vs 'BSeRReferralObservation'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation ADI Documentation Profile' vs 'BSeR Referral Observation'
InformationStructureDefinition.dateValues for date differ: '2024-09-13' vs '2024-12-19T20:39:42+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 Public Health Working Group'
InformationStructureDefinition.shortValues for short differ: 'US Core Observation ADI Presence Profile' vs 'Measurements and simple assertions'
InformationStructureDefinition.shortValues for short differ: 'Extension' vs 'Additional content defined by implementations'
InformationStructureDefinition.definitionValues for definition differ: 'An Extension' vs 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.shortValues for short differ: 'registered | preliminary | final | amended +' vs 'final'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: 'Observation ADI Documentation code' vs 'Type of observation (code / type)'
InformationStructureDefinition.definitionValues for definition differ: '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.' 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'.'
InformationStructureDefinition.commentValues for comment differ: 'At least a date should be present unless this observation is a historical report. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.' vs 'At least a date should be present unless this observation is a historical report.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Date/Time this observation was made available' vs 'Date/Time this version was made available'
WarningObservation.issuedElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .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'
      .date2024-09-132024-12-19T20:39:42+00:00
      • Values Differ
      .descriptionThe US Core Observation ADI Documentation Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile and the [US Core Observation ADI DocumentationReference Profile](StructureDefinition-us-core-adi-documentreference.html) meet the [U.S. Core Data for Interoperability (USCDI)](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi) *Advance Directive Observation* Data Element requirements. It is used to communicate whether a person has advance directive information and, if one or more documents exist, their location. Examples of advance healthcare directive documents include physician order for life sustaining treatment (POLST), do not resuscitate order (DNR), and medical power of attorney. To communicate the type of advance directive document, the author, the verifier, and other properties, see the US Core Observation ADI Documentation Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch findings about the presence of a patient's advance directives. 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.This Observation profile represents a supporting information observation used in either the referral request or the referral feedback.
      • Values Differ
      .experimentalfalse
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreObservationADIDocumentationProfileBSeRReferralObservation
                • Values Differ
                .publisherHL7 International / Cross-Group ProjectsHL7 Public Health Working Group
                • Values Differ
                .purpose
                  .statusactive
                    .titleUS Core Observation ADI Documentation ProfileBSeR Referral Observation
                    • Values Differ
                    .typeObservation
                      .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-adi-documentationhttp://hl7.org/fhir/us/bser/StructureDefinition/bser-referral-observation
                      • Values Differ
                      .version8.0.0-ballot2.0.0-ballot
                      • Values Differ

                      Structure

                      NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                      .. Observation C0..*ObservationUS Core Observation ADI Presence Profile
                      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
                      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
                        ... id Σ0..1idLogical 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
                                    ... Slices for extension 0..*ExtensionExtension
                                    Slice: Unordered, Open by value:url
                                    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): Codes providing the status of an observation.

                                              ?!SΣ1..1codefinal
                                              Binding: ?? (required): Codes providing the status of an observation.


                                              Required Pattern: final
                                                ... Slices for category S0..*CodeableConceptClassification of type of observation
                                                Slice: Unordered, Open by value:$this
                                                Binding: ?? (preferred): Codes for high level observation categories.


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


                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                • Element minimum cardinalities differ: '0' vs '1'
                                                ... code SΣ1..1CodeableConceptObservation ADI Documentation code
                                                Binding: ?? (example): Codes identifying names of simple observations.


                                                Required Pattern: {"coding":[{"system":"http://loinc.org","code":"45473-6"}]}
                                                SΣ1..1CodeableConceptType of observation (code / type)
                                                Binding: ?? (preferred): Codes identifying names of simple observations.

                                                  ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
                                                    ... focus Σ0..*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 madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                        ... effective[x] Σ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observationSΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                        ... issued SΣ0..1instantDate/Time this observation was made availableΣ0..1instantDate/Time this version was made available
                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                        ... performer SΣ0..*Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                        SΣ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                          ... value[x] SΣC0..1CodeableConceptActual result
                                                          Binding: ?? (required): Answer Set with Yes No and Unknowns

                                                          SΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                            ... dataAbsentReason C0..1CodeableConceptWhy the result is missing
                                                            Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                            C0..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.


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


                                                                ... 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 observation0..1Reference(Specimen)Specimen used for this observation
                                                                        ... 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
                                                                          C0..*BackboneElementProvides guide for interpretation
                                                                          obs-3: Must have at least a low or a high or text
                                                                            .... 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