Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/covid19library/StructureDefinition/known-sars-cov-2-exposure

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:Known Exposure (http://hl7.org/fhir/us/covid19library/StructureDefinition/known-sars-cov-2-exposure)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/covid19library/StructureDefinition/known-sars-cov-2-exposure'
ErrorStructureDefinition.versionValues for version differ: '5.0.1' vs '1.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'KnownSARSCoV2Exposure'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'Known Exposure'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2022-07-25T12:22:40+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Clinical Information Modeling Initiative'
InformationStructureDefinition.copyrightValues for copyright differ: 'Used by permission of HL7 International, all rights reserved Creative Commons License' vs 'HL7 International & Logica Health, all rights reserved Creative Commons License'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/covid19library/StructureDefinition/covid-19-exposure-core'
WarningObservationElements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.'
WarningObservation.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningObservation.extensionElements differ in definition: '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.' vs 'An Extension'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
WarningObservation.codeElements differ in short: 'Laboratory Test Name' vs 'Type of observation (code / type)'
WarningObservation.codeElements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: '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 '*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 definition for mustSupport: 'true' vs 'false'
WarningObservation.codeElements differ in binding.description: 'LOINC codes' vs 'Codes identifying names of simple observations.'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
WarningObservation.effective[x]Elements differ in definition: '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.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.value[x]Elements differ in short: 'Result Value' vs 'Actual result'
WarningObservation.value[x]Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.interpretationElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.bodySiteElement maximum cardinalities differ: '1' vs '0'
InformationObservation.methodElement maximum cardinalities differ: '1' vs '0'
InformationObservation.specimenElement maximum cardinalities differ: '1' vs '0'
InformationObservation.deviceElement maximum cardinalities differ: '1' vs '0'
InformationObservation.referenceRangeElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.hasMemberElement maximum cardinalities differ: '2147483647' vs '0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/covid19library/StructureDefinition/covid-19-exposure-core
    • Values Differ
    .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons LicenseHL7 International & Logica Health, all rights reserved Creative Commons License
    • Values Differ
    .date2022-04-202022-07-25T12:22:40+00:00
    • Values Differ
    .descriptionThe US Core Laboratory Result Observation Profile is based upon the core FHIR Observation Resource, and, along with the US Core DiagnosticReport Profile for Laboratory Results Reporting, meets the U.S. Core Data for Interoperability (USCDI) v2 ‘Laboratory’ requirements. Laboratory results are grouped and summarized using the DiagnosticReport resource which reference Observation resources. Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) which 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 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 when using this profile. It provides the floor for standards development for specific uses cases.Known SARS-CoV-2 Exposure is an observation to state that it is known that an individual has or has not been exposed to the SARS-CoV-2 virus.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreLaboratoryResultObservationProfileKnownSARSCoV2Exposure
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International - Clinical Information Modeling Initiative
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Laboratory Result Observation ProfileKnown Exposure
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://hl7.org/fhir/us/covid19library/StructureDefinition/known-sars-cov-2-exposure
                  • Values Differ
                  .version5.0.11.0.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation I0..*ObservationMeasurements and simple assertions
                  us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                  I0..*COVID19ExposureCoreMeasurements and simple assertions
                  • Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                  • Elements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.'
                  ... id Σ0..1stringLogical id of this artifactΣ0..1stringLogical 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: CommonLanguages (preferred): A human language.

                        Additional BindingsPurpose
                        AllLanguagesMax Binding
                        0..1codeLanguage of the resource content
                        Binding: CommonLanguages (preferred): A human language.

                        Additional BindingsPurpose
                        AllLanguagesMax 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..*ExtensionExtension
                              Slice: Unordered, Open by value:url
                              • Elements differ in short: 'Additional content defined by implementations' vs 'Extension'
                              • Elements differ in definition: '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.' vs 'An Extension'
                              ... 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: ObservationStatus (required)
                                      ?!Σ1..1coderegistered | preliminary | final | amended +
                                      Binding: ObservationStatus (required): Codes providing the status of an observation.

                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      ... Slices for category S1..*CodeableConceptClassification of type of observation
                                      Slice: Unordered, Open by pattern:$this
                                      Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                      0..*CodeableConceptClassification of type of observation
                                      Binding: ObservationCategoryCodes (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..1CodeableConceptLaboratory Test Name
                                      Binding: LOINCCodes (extensible): LOINC codes

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


                                      Required Pattern: {"coding":[{"system":"http://loinc.org","code":"88636-6"}]}
                                      • Elements differ in short: 'Laboratory Test Name' vs 'Type of observation (code / type)'
                                      • Elements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation "name".'
                                      • Elements differ in comments: '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 '*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 definition for mustSupport: 'true' vs 'false'
                                      • Elements differ in binding.description: 'LOINC codes' vs 'Codes identifying names of simple observations.'
                                      ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutΣ0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      • Element minimum cardinalities differ: '1' vs '0'
                                      ... 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] SΣI0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                          us-core-1: Datetime must be at least to day.
                                          Σ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                          • Elements differ in definition: '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.'
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... 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] SΣI0..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.
                                              ΣI0..1CodeableConceptActual result
                                              Slice: Unordered, Closed by type:$this
                                              • Elements differ in short: 'Result Value' vs 'Actual result'
                                              • Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
                                              Binding: DataAbsentReason (extensible)
                                              I0..1CodeableConceptWhy the result is missing
                                              Binding: DataAbsentReason (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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                              0..0
                                              • Element maximum cardinalities differ: '2147483647' vs '0'
                                              ... note 0..*AnnotationComments about the observation
                                              0..*AnnotationComments about the observation
                                                ... bodySite 0..1CodeableConceptObserved body part
                                                Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

                                                0..0
                                                • Element maximum cardinalities differ: '1' vs '0'
                                                ... method 0..1CodeableConceptHow it was done
                                                Binding: ObservationMethods (example): Methods for simple observations.

                                                0..0
                                                • Element maximum cardinalities differ: '1' vs '0'
                                                ... specimen 0..1Reference(Specimen)Specimen used for this observation0..0
                                                • Element maximum cardinalities differ: '1' vs '0'
                                                ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..0
                                                • Element maximum cardinalities differ: '1' vs '0'
                                                ... referenceRange I0..*BackboneElementProvides guide for interpretation
                                                I0..0
                                                • Element maximum cardinalities differ: '2147483647' vs '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 I0..1SimpleQuantityLow Range, if relevantI0..1SimpleQuantityLow Range, if relevant
                                                        .... high I0..1SimpleQuantityHigh Range, if relevantI0..1SimpleQuantityHigh Range, if relevant
                                                          .... type 0..1CodeableConceptReference range qualifier
                                                          Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                          0..1CodeableConceptReference range qualifier
                                                          Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                            .... appliesTo 0..*CodeableConceptReference range population
                                                            Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


                                                            0..*CodeableConceptReference range population
                                                            Binding: ObservationReferenceRangeAppliesToCodes (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..0
                                                                  • Element maximum cardinalities differ: '2147483647' vs '0'
                                                                  ... 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: LOINCCodes (example): Codes identifying names of simple observations.

                                                                            Σ1..1CodeableConceptType of component observation (code / type)
                                                                            Binding: LOINCCodes (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 I0..1CodeableConceptWhy the component result is missing
                                                                                Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                I0..1CodeableConceptWhy the component result is missing
                                                                                Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


                                                                                  0..*CodeableConceptHigh, low, normal, etc.
                                                                                  Binding: ObservationInterpretationCodes (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