## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure vs http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-location-of-death

Left: | US Core Average Blood Pressure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure)
Right: | Observation - Location of Death (http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-location-of-death)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure' vs 'http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-location-of-death'
Error | StructureDefinition.version | Values for version differ: '8.0.0' vs '0.1.2'
Information | StructureDefinition.name | Values for name differ: 'USCoreAverageBloodPressureProfile' vs 'ObservationLocationOfDeath'
Information | StructureDefinition.title | Values for title differ: 'US Core Average Blood Pressure Profile' vs 'Observation - Location of Death'
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft'
Information | StructureDefinition.date | Values for date differ: '2024-03-25' vs '2025-06-12T00:36:53+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Public Health'
Information | StructureDefinition.short | Values for short differ: 'US Core Average Blood Pressure Profile' vs 'Measurements and simple assertions'
Warning | Observation.status | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Observation.category | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.category | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Blood Pressure' vs 'Type of observation (code / type)'
Warning | Observation.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Observation.subject | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'clinically relevant time-period for the average of blood pressure (BP) readings' vs 'Clinically relevant time/time-period for observation'
Warning | Observation.effective[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.effective[x] | Element minimum cardinalities differ: '1' vs '0'
Warning | Observation.performer | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.value[x] | Element minimum cardinalities differ: '0' vs '1'
Information | Observation.value[x] | Element maximum cardinalities differ: '0' vs '1'
Error | Observation.value[x] | Element minimum cardinalities conflict: '0..0' vs '1..1': No instances can be valid against both profiles
Information | StructureDefinition.short | Values for short differ: 'Average systolic and diastolic blood pressure and other qualifiers.' vs 'Component results'
Warning | Observation.component | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.component | Element minimum cardinalities differ: '2' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Vital Sign Component Value' vs 'Actual component result'
Information | StructureDefinition.definition | Values for definition differ: 'Vital Signs value are typically 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.'
Warning | Observation.component.value[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Observation.component.dataAbsentReason | Elements differ in definition for mustSupport: 'true' vs 'false'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation |
copyright | Used 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'
date | 2024-03-25 | 2025-06-12T00:36:53+00:00 | Values Differ
description | The US Core Average Blood Pressure Profile inherits from the [Observation](https://hl7.org/fobservation.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. | The location of death of the report subject. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreAverageBloodPressureProfile | ObservationLocationOfDeath | Values Differ
publisher | HL7 International / Cross-Group Projects | HL7 International / Public Health | Values Differ
purpose |  |
status | active | draft | Values Differ
title | US Core Average Blood Pressure Profile | Observation - Location of Death | Values Differ
type | Observation |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure | http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-location-of-death | Values Differ
version | 8.0.0 | 0.1.2 | 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 | US Core Average Blood Pressure Profile | C | 0..* | Observation | Measurements and simple assertions |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
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
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation |
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. | Elements differ in definition for mustSupport: 'true' vs 'false'
Slices for category | S | 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. |  | 0..* | CodeableConcept | Classification 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 | S Σ | 1..1 | CodeableConcept | Blood Pressure Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"96607-7"}]} | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"58332-8"}]} | Elements differ in definition for mustSupport: 'true' vs 'false'
subject | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who and/or what the observation is about | Σ | 1..1 | Reference(Patient - Child Vital Records(2.0.0)) | Who and/or what the observation is about | Elements differ in definition for mustSupport: 'true' vs 'false'
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | S Σ | 1..1 | dateTime, Period S | clinically relevant time-period for the average of blood pressure (BP) readings | Σ | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available |
performer | S Σ | 0..* | Reference(US Core Practitioner Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | PractitionerRole | US Core CareTeam Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | Who is responsible for the observation | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | Elements differ in definition for mustSupport: 'true' vs 'false'
value[x] | Σ C | 0..0 |  |  | Σ C | 1..1 | string | Actual result | Element minimum cardinalities differ: '0' vs '1' Element maximum cardinalities differ: '0' vs '1' Element minimum cardinalities conflict: '0..0' vs '1..1': No instances can be valid against both profiles
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. |
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. |
note |  | 0..* | Annotation | Comments about the observation |  | 0..* | Annotation | Comments about the 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. |
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. |
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation |  | 0..1 | Reference(Specimen) | Specimen used for this observation |
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | C | 0..* | BackboneElement | Provides guide for interpretation |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant |
high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant |
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. |
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. |
age |  | 0..1 | Range | Applicable age range, if relevant |  | 0..1 | Range | Applicable age range, if relevant |
text |  | 0..1 | string | Text based reference range in an observation |  | 0..1 | string | Text based reference range in an observation |
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
Slices for component | S Σ C | 2..* | BackboneElement | Average systolic and diastolic blood pressure and other qualifiers. Slice: Unordered, Open by value:code Constraints: us-core-26 | Σ | 0..* | BackboneElement | Component results | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '2' vs '0'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. |
value[x] | S Σ | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Elements differ in definition for mustSupport: 'true' vs 'false'
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | 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: 'true' vs 'false'
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. |
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