Profile Comparison between http://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel vs http://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel

Left:Vital Signs Panel (http://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel)
Right:Vital Signs Panel (http://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.0' vs '2.0.0'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2022-09-12T00:45:08+00:00' vs '2023-07-18T14:07:06+00:00'
InformationStructureDefinition.jurisdictionRemoved the item 'urn:iso:std:iso:3166#US'
InformationStructureDefinition.jurisdictionAdded the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/vitalspanel' vs 'http://hl7.org/fhir/StructureDefinition/Observation'
WarningObservationElements differ in short: 'FHIR Vital Signs Panel Profile' vs 'Measurements and simple assertions'
WarningObservationElements differ in definition: 'This profile defines the top-level grouping structure for a set of vital signs. It has no value in Observation.valueQuantity ; instead, it just includes related links (with type=has-member) to the Observations in this set (e.g. respiratory rate, heart rate, BP).' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
WarningObservation.codeElements differ in definition: 'Vital Signs Panel.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: 'additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.' vs '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
WarningObservation.codeElements differ in requirements: '5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).' vs 'Knowing what kind of observation is being made is essential to understanding the observation.'
WarningObservation.codeElements differ in binding.description: 'This identifies the vital sign result type.' vs 'Codes identifying names of simple observations.'
WarningObservation.effective[x]Elements differ in short: 'Often just a dateTime for Vital Signs' vs 'Clinically relevant time/time-period for observation'
WarningObservation.effective[x]Elements differ in definition: 'Often just a dateTime for Vital Signs.' 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.'
WarningObservation.value[x]Elements differ in short: 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' vs 'Actual result'
WarningObservation.value[x]Elements differ in definition: 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
WarningObservation.value[x]Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.hasMemberElements differ in short: 'Used when reporting vital signs panel components' vs 'Related resource that belongs to the Observation group'
WarningObservation.hasMemberElements differ in definition: 'Used when reporting vital signs panel components.' vs 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.hasMemberElement minimum cardinalities differ: '1' vs '0'
ErrorObservation.hasMemberType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
WarningObservation.componentElements differ in short: 'Used when reporting systolic and diastolic blood pressure.' vs 'Component results'
WarningObservation.componentElements differ in definition: 'Used when reporting systolic and diastolic blood pressure.' vs 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.codeElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.codeElements differ in binding.description: 'This identifies the vital sign result type.' vs 'Codes identifying names of simple observations.'
WarningObservation.component.value[x]Elements differ in short: 'Vital Sign Value recorded with UCUM' vs 'Actual component result'
WarningObservation.component.value[x]Elements differ in definition: 'Vital Sign Value recorded with UCUM.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
WarningObservation.component.value[x]Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
WarningObservation.component.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/vitalspanelhttp://hl7.org/fhir/StructureDefinition/Observation
    • Values Differ
    .copyrightLogica Health, all rights reserved Creative Commons License
      .date2022-09-12T00:45:08+00:002023-07-18T14:07:06+00:00
      • Values Differ
      .descriptionA vital signs panel as defined by Logica Health. It includes Oxygen Saturation via Pulse Oximetry, Oxygen Saturation in Arterial blood, body height, body length, body weight, body temperature, blood pressure panel, heart rate, respiratory rate, head-occcipital/frontal circumference, oxygen saturation via pulse oximetry, and body mass index.
        .experimental
          .fhirVersion4.0.1
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
              • Removed the item 'urn:iso:std:iso:3166#US'
              ..jurisdiction[1]http://unstats.un.org/unsd/methods/m49/m49.htm#001
              • Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
              .kindresource
                .nameVitalSignsPanel
                  .publisherHL7 International - Clinical Information Modeling Initiative
                    .purpose
                      .statusactivedraft
                      • Values Differ
                      .titleVital Signs Panel
                        .typeObservation
                          .urlhttp://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel
                            .version1.0.02.0.0
                            • Values Differ

                            Structure

                            NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                            .. Observation C0..*observation-vitalspanelFHIR Vital Signs Panel Profile
                            C0..*ObservationMeasurements and simple assertions
                            • Elements differ in short: 'FHIR Vital Signs Panel Profile' vs 'Measurements and simple assertions'
                            • Elements differ in definition: 'This profile defines the top-level grouping structure for a set of vital signs. It has no value in Observation.valueQuantity ; instead, it just includes related links (with type=has-member) to the Observations in this set (e.g. respiratory rate, heart rate, BP).' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                            ... 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
                                        ... 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 value:coding.code, value:coding.system
                                                    Binding: ?? (preferred): Codes for high level observation categories.


                                                    0..*CodeableConceptClassification of type of observation
                                                    Binding: ?? (preferred): Codes for high level observation categories.


                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                    • Element minimum cardinalities differ: '1' vs '0'
                                                    ... code SΣ1..1CodeableConceptVital signs, weight, height, head circumference, oxygen saturation, and BMI panel
                                                    Binding: ?? (extensible): This identifies the vital sign result type.


                                                    Required Pattern: {"coding":[{"system":"http://loinc.org","code":"85353-1"}]}
                                                    SΣ1..1CodeableConceptVital signs, weight, height, head circumference, oxygen saturation, and BMI panel
                                                    Binding: ?? (example): Codes identifying names of simple observations.


                                                    Required Pattern: {"coding":[{"system":"http://loinc.org","code":"85353-1"}]}
                                                    • Elements differ in definition: 'Vital Signs Panel.' vs 'Describes what was observed. Sometimes this is called the observation "name".'
                                                    • Elements differ in comments: 'additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.' vs '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
                                                    • Elements differ in requirements: '5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).' vs 'Knowing what kind of observation is being made is essential to understanding the observation.'
                                                    • Elements differ in binding.description: 'This identifies the vital sign result type.' vs 'Codes identifying names of simple observations.'
                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                      .... 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
                                                        .... Slices for coding Σ0..*CodingCode defined by a terminology system
                                                        Slice: Unordered, Open by value:code, value:system
                                                        Σ0..*CodingCode defined by a terminology system
                                                          .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                                            ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(Patient)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
                                                              ΣTU0..*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] SΣC1..1dateTime, PeriodOften just a dateTime for Vital SignsSΣ1..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                                  • Elements differ in short: 'Often just a dateTime for Vital Signs' vs 'Clinically relevant time/time-period for observation'
                                                                  • Elements differ in definition: 'Often just a dateTime for Vital Signs.' 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.'
                                                                  ... 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..0ΣC0..0
                                                                      • Elements differ in short: 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' vs 'Actual result'
                                                                      • Elements differ in definition: 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
                                                                      • Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                      ... dataAbsentReason SC0..0C0..0
                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                      ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                      Binding: ?? (extensible)
                                                                      0..*CodeableConceptHigh, low, normal, etc.
                                                                      Binding: ?? (extensible)
                                                                        ... note 0..*AnnotationComments about the observation
                                                                        0..*AnnotationComments about the observation
                                                                          ... bodySite 0..00..0
                                                                            ... method 0..00..0
                                                                              ... specimen 0..00..0
                                                                                ... device 0..00..0
                                                                                  ... referenceRange C0..0C0..0
                                                                                    .... 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
                                                                                                      ... Slices for hasMember SΣ1..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                                      Slice: Unordered, Closed by profile:resolve()
                                                                                                      Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                      Slice: Unordered, Closed by profile:resolve()
                                                                                                      • Elements differ in short: 'Used when reporting vital signs panel components' vs 'Related resource that belongs to the Observation group'
                                                                                                      • Elements differ in definition: 'Used when reporting vital signs panel components.' vs 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.'
                                                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                      • Element minimum cardinalities differ: '1' vs '0'
                                                                                                      • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                                                                      ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                                                      Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                        ... component SΣC0..0Σ0..0
                                                                                                        • Elements differ in short: 'Used when reporting systolic and diastolic blood pressure.' vs 'Component results'
                                                                                                        • Elements differ in definition: 'Used when reporting systolic and diastolic blood pressure.' vs 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.'
                                                                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                        .... 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 SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                                              Binding: ?? (extensible): This identifies the vital sign result type.

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

                                                                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                              • Elements differ in binding.description: 'This identifies the vital sign result type.' vs 'Codes identifying names of simple observations.'
                                                                                                              .... value[x] SΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Value recorded with UCUM
                                                                                                              Binding: ?? (required): Common UCUM units for recording Vital Signs.

                                                                                                              Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                              • Elements differ in short: 'Vital Sign Value recorded with UCUM' vs 'Actual component result'
                                                                                                              • Elements differ in definition: 'Vital Sign Value recorded with UCUM.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
                                                                                                              • Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
                                                                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                              .... dataAbsentReason SC0..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.

                                                                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                              .... 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