Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report

Left:US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab)
Right:Genomics Report Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '2.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreDiagnosticReportProfileLaboratoryReporting' vs 'GenomicsReport'
InformationStructureDefinition.titleValues for title differ: 'US Core DiagnosticReport Profile for Laboratory Results Reporting' vs 'Genomics Report Profile'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-01-13T14:44:53+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/DiagnosticReport' vs 'http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report'
WarningDiagnosticReportElements differ in definition: '\-' vs 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.'
WarningDiagnosticReportElements differ in comments: '\-' vs 'This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.'
WarningDiagnosticReport.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningDiagnosticReport.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'
WarningDiagnosticReport.codeElements differ in short: 'US Core Laboratory Report Order Code' vs 'Name/Code for this diagnostic report'
WarningDiagnosticReport.codeElements differ in definition: 'The test, panel or battery that was ordered.' vs 'A code or name that describes this diagnostic report.'
WarningDiagnosticReport.codeElements differ in binding.description: 'LOINC codes' vs 'Codes that describe Diagnostic Reports.'
InformationDiagnosticReport.subjectElement minimum cardinalities differ: '1' vs '0'
WarningDiagnosticReport.effective[x]Elements differ in short: 'Diagnostically relevant time (typically the time of specimen collection)' vs 'Clinically relevant time/time-period for report'
WarningDiagnosticReport.issuedElements differ in short: 'When the report was released' vs 'DateTime this version was made'
WarningDiagnosticReport.specimenElements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DiagnosticReporthttp://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report
    • 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'
    .date2022-04-202023-01-13T14:44:53+00:00
    • Values Differ
    .descriptionLaboratory results are grouped and summarized using the DiagnosticReport resource which typically reference Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values, or a nested panel (such as a microbial susceptibility panel) which references other observations. They can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory 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 use cases.Genomic analysis summary report. The report may include one or more tests, with two distinct test types. The first type is a targeted mutation test, where a specific mutation on a specific gene is tested for. The result is either positive or negative for that mutation. The second type is a more general test for variants. This type of test returns the identity of variants found in a certain region of the genome.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreDiagnosticReportProfileLaboratoryReportingGenomicsReport
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core DiagnosticReport Profile for Laboratory Results ReportingGenomics Report Profile
                • Values Differ
                .typeDiagnosticReport
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-labhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report
                  • Values Differ
                  .version6.0.0-ballot2.1.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. DiagnosticReport C0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                  us-core-8: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'
                  us-core-9: issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'
                  0..*GenomicsReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                  • Elements differ in definition: '\-' vs 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.'
                  • Elements differ in comments: '\-' vs 'This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.'
                  ... 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
                        ... 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 report
                              Σ0..*IdentifierBusiness identifier for report
                                ... basedOn 0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
                                0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
                                  ... status ?!SΣC1..1coderegistered | partial | preliminary | final +
                                  Binding: todo (required)
                                  ?!SΣ1..1coderegistered | partial | preliminary | final +
                                  Binding: todo (required): The status of the diagnostic report.

                                    ... Slices for category SΣ1..*CodeableConceptService category
                                    Slice: Unordered, Open by pattern:$this
                                    Binding: todo (example): Codes for diagnostic service sections.


                                    SΣ1..*CodeableConceptService category
                                    Slice: Unordered, Open by pattern:coding
                                    Binding: todo (example): Codes for diagnostic service sections.


                                      ... code SΣ1..1CodeableConceptUS Core Laboratory Report Order Code
                                      Binding: todo (extensible): LOINC codes

                                      SΣ1..1CodeableConceptName/Code for this diagnostic report
                                      Binding: todo (preferred): Codes that describe Diagnostic Reports.

                                      • Elements differ in short: 'US Core Laboratory Report Order Code' vs 'Name/Code for this diagnostic report'
                                      • Elements differ in definition: 'The test, panel or battery that was ordered.' vs 'A code or name that describes this diagnostic report.'
                                      • Elements differ in binding.description: 'LOINC codes' vs 'Codes that describe Diagnostic Reports.'
                                      ... subject SΣ1..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)The subject of the report - usually, but not always, the patientSΣ0..1Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient)The subject of the report - usually, but not always, the patient
                                      • Element minimum cardinalities differ: '1' vs '0'
                                      ... encounter Σ0..1Reference(Encounter)Health care event when test orderedΣ0..1Reference(Encounter)Health care event when test ordered
                                        ... effective[x] SΣC0..1dateTime S, PeriodDiagnostically relevant time (typically the time of specimen collection)SΣ0..1dateTimeClinically relevant time/time-period for report
                                        Slice: Unordered, Closed by type:$this
                                        • Elements differ in short: 'Diagnostically relevant time (typically the time of specimen collection)' vs 'Clinically relevant time/time-period for report'
                                        ... issued SΣC0..1instantWhen the report was releasedSΣ0..1instantDateTime this version was made
                                        • Elements differ in short: 'When the report was released' vs 'DateTime this version was made'
                                        ... performer SΣ0..*Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner S | http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization | http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam | http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)Responsible Diagnostic Service
                                        SΣ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Responsible Diagnostic Service
                                          ... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                          Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                            ... specimen 0..*Reference(Specimen)Specimens this report is based on
                                            S0..*Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen)Specimens this report is based on
                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                            ... result S0..*Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)Observations
                                            S0..*Reference(Observation)Observations
                                            Slice: Unordered, Open by profile:resolve()
                                              ... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
                                              0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
                                                ... media Σ0..*BackboneElementKey images associated with this report
                                                Σ0..*BackboneElementKey images associated with this report
                                                  .... 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
                                                        .... comment 0..1stringComment about the image (e.g. explanation)0..1stringComment about the image (e.g. explanation)
                                                          .... link Σ1..1Reference(Media)Reference to the image sourceΣ1..1Reference(Media)Reference to the image source
                                                            ... conclusion 0..1stringClinical conclusion (interpretation) of test results0..1stringClinical conclusion (interpretation) of test results
                                                              ... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
                                                              Binding: todo (example): Diagnosis codes provided as adjuncts to the report.


                                                              0..*CodeableConceptCodes for the clinical conclusion of test results
                                                              Binding: todo (example): Diagnosis codes provided as adjuncts to the report.


                                                                ... presentedForm 0..*AttachmentEntire report as issued
                                                                0..*AttachmentEntire report as issued

                                                                  doco Documentation for this format