Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result vs http://hl7.org/fhir/us/breast-radiology/StructureDefinition/MassAbnormality

Left:US Core Observation Clinical Result Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result)
Right:Mass Abnormality (http://hl7.org/fhir/us/breast-radiology/StructureDefinition/MassAbnormality)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result' vs 'http://hl7.org/fhir/us/breast-radiology/StructureDefinition/MassAbnormality'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '0.3.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationClinicalResultProfile' vs 'MassAbnormality'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Clinical Result Profile' vs 'Mass Abnormality'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2022-12-07T21:19:53+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Clinical Interoperability Council'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-imaging'
InformationObservation.containedElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.basedOnElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.partOfElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '2'
WarningObservation.codeElements differ in short: 'Clinical Test or Procedure Name' vs 'Imaging Name'
WarningObservation.codeElements differ in definition: 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'The name of the imaging test performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.value[x]Elements differ in definition: 'The clinical test or procedure result value. 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.'
InformationObservation.value[x]Element maximum cardinalities differ: '1' vs '0'
InformationObservation.dataAbsentReasonElement maximum cardinalities differ: '1' vs '0'
InformationObservation.interpretationElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.bodySiteElement minimum cardinalities differ: '0' vs '1'
WarningObservation.bodySite.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningObservation.bodySite.extensionElements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the element. 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'
InformationObservation.bodySite.extensionElement minimum cardinalities differ: '0' vs '1'
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.componentElement minimum cardinalities differ: '0' vs '2'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-imaging
    • Values Differ
    .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'
    .date2022-04-202022-12-07T21:19:53+00:00
    • Values Differ
    .descriptionThe US Core Observation Clinical Result Profile is based upon the core FHIR Observation Resource and, along with the US Core DiagnosticReport Profile, meets the US Core Data for Interoperability (USCDI) requirements for *Diagnostic Imaging* and *Clinical Tests* Data Classes. This profile sets minimum expectations for the Observation resource to record and search non-laboratory clinical test results (e.g., radiology and other clinical observations generated from procedures). An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy. This profile is the basis for the US Core Laboratory Result Observation Profile, which defines additional data elements to record and search laboratory test results. The US Core Observation Clinical Result Profile sets minimum expectations 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 use cases.Mass Abnormality abnormality observation.
    • Values Differ
    .experimental
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreObservationClinicalResultProfileMassAbnormality
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 International - Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Observation Clinical Result ProfileMass Abnormality
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-resulthttp://hl7.org/fhir/us/breast-radiology/StructureDefinition/MassAbnormality
                    • Values Differ
                    .version6.0.0-ballot0.3.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Observation C0..*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
                    C0..*USCoreObservationImagingResultProfileMeasurements and simple assertions
                      ... 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: 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..0
                                • Element maximum cardinalities differ: '2147483647' vs '0'
                                ... 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..0
                                      • Element maximum cardinalities differ: '2147483647' vs '0'
                                      ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                      Σ0..0
                                      • Element maximum cardinalities differ: '2147483647' vs '0'
                                      ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                      Binding: ObservationStatus (required): Codes providing the status of an observation.

                                      ?!SΣ1..1coderegistered | preliminary | final | amended +
                                      Binding: ObservationStatus (required): Codes providing the status of an observation.

                                        ... Slices for category S1..*CodeableConceptClassification of type of observation
                                        Slice: Unordered, Open by pattern:$this
                                        Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                        S2..*CodeableConceptClassification of type of observation
                                        Slice: Unordered, Open by pattern:$this
                                        Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                        • Element minimum cardinalities differ: '1' vs '2'
                                        ... code SΣ1..1CodeableConceptClinical Test or Procedure Name
                                        Binding: LOINCCodes (extensible)
                                        SΣ1..1CodeableConceptImaging Name
                                        Binding: US Core Non Laboratory Codes (extensible)
                                        Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE","code":"RDES246"}]}
                                        • Elements differ in short: 'Clinical Test or Procedure Name' vs 'Imaging Name'
                                        • Elements differ in definition: 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'The name of the imaging test performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
                                        ... 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 ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                          Σ0..0
                                          • Element maximum cardinalities differ: '2147483647' vs '0'
                                          ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                            ... effective[x] SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                            us-core-1: Datetime must be at least to day.
                                            SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                              ... 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..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
                                                  us-core-3: SHALL use UCUM for coded quantity units.
                                                  SΣC0..0
                                                  • Elements differ in definition: 'The clinical test or procedure result value. 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.'
                                                  • Element maximum cardinalities differ: '1' vs '0'
                                                  ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                  Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                  SC0..0
                                                  • Element maximum cardinalities differ: '1' vs '0'
                                                  ... 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.

                                                    1..1CodeableConceptObserved body part
                                                    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

                                                    • Element minimum cardinalities differ: '0' vs '1'
                                                    .... 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
                                                      1..*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 element. 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'
                                                      • Element minimum cardinalities differ: '0' vs '1'
                                                      .... coding Σ0..*CodingCode defined by a terminology system
                                                      Σ0..*CodingCode defined by a terminology system
                                                        .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                                          ... method 0..1CodeableConceptHow it was done
                                                          Binding: ObservationMethods (example): Methods for simple observations.

                                                          0..1CodeableConceptHow it was done
                                                          Binding: ObservationMethods (example): Methods for simple observations.

                                                            ... 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 C0..*BackboneElementProvides guide for interpretation
                                                            C0..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 C0..1SimpleQuantityLow Range, if relevantC0..1SimpleQuantityLow Range, if relevant
                                                                    .... high C0..1SimpleQuantityHigh Range, if relevantC0..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..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                              Slice: Unordered, Open by value:url
                                                                                ... 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
                                                                                  Σ2..*BackboneElementComponent results
                                                                                  Slice: Unordered, Open by pattern:code
                                                                                  • Element minimum cardinalities differ: '0' vs '2'
                                                                                  .... 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 C0..1CodeableConceptWhy the component result is missing
                                                                                            Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                            C0..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