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

Left:US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note)
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-note' 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: 'USCoreDiagnosticReportProfileNoteExchange' vs 'GenomicsReport'
InformationStructureDefinition.titleValues for title differ: 'US Core DiagnosticReport Profile for Report and Note Exchange' 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 Report Code' vs 'Name/Code for this diagnostic report'
WarningDiagnosticReport.codeElements differ in definition: 'The test, panel, report, or note 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.encounterElements differ in definition for mustSupport: 'true' vs 'false'
WarningDiagnosticReport.effective[x]Elements differ in short: 'Diagnostically relevant time (typically the time of the procedure)' vs 'Clinically relevant time/time-period for report'
WarningDiagnosticReport.specimenElements differ in definition for mustSupport: 'false' vs 'true'
WarningDiagnosticReport.mediaElements differ in definition for mustSupport: 'true' vs 'false'
WarningDiagnosticReport.media.linkElements differ in definition for mustSupport: 'true' vs 'false'
WarningDiagnosticReport.presentedFormElements differ in definition for mustSupport: 'true' vs 'false'

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
    .descriptionTo promote interoperability and adoption through common implementation, this profile sets minimum expectations for searching and fetching Diagnostic Reports and Notes using the DiagnosticReport resource. This profile identifies the mandatory core elements, extensions, vocabularies and value sets which **SHALL** be present in the DiagnosticReport when using this profile. It provides the floor for standards development for specific use cases. Prior to reviewing this profile, implementers are encouraged to read the Clinical Notes Guidance to understand the overlap of US Core DiagnosticReport Profile for Report and Note exchange and US Core DocumentReference Profile.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
    .experimental
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreDiagnosticReportProfileNoteExchangeGenomicsReport
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core DiagnosticReport Profile for Report and Note ExchangeGenomics Report Profile
                  • Values Differ
                  .typeDiagnosticReport
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-notehttp://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-10: effective[x] 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 Report 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 Report Code' vs 'Name/Code for this diagnostic report'
                                        • Elements differ in definition: 'The test, panel, report, or note 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 SΣ0..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)Health care event when test orderedΣ0..1Reference(Encounter)Health care event when test ordered
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... effective[x] SΣC0..1dateTime S, PeriodDiagnostically relevant time (typically the time of the procedure)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 the procedure)' vs 'Clinically relevant time/time-period for report'
                                        ... issued SΣ0..1instantDateTime this version was madeSΣ0..1instantDateTime 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 S | http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole | http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam)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 S | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result S | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result S)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 SΣ0..*BackboneElementKey images associated with this report
                                                  Σ0..*BackboneElementKey images associated with this report
                                                  • 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
                                                        .... comment 0..1stringComment about the image (e.g. explanation)0..1stringComment about the image (e.g. explanation)
                                                          .... link SΣ1..1Reference(Media)Reference to the image sourceΣ1..1Reference(Media)Reference to the image source
                                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                          ... 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 S0..*AttachmentEntire report as issued
                                                              0..*AttachmentEntire report as issued
                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'

                                                              doco Documentation for this format