Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied

Left:US Core Observation Clinical Result Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result)
Right:Genomic Region Studied Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '2.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationClinicalResultProfile' vs 'GenomicRegionStudied'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Clinical Result Profile' vs 'Genomic Region Studied 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/Observation' vs 'http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/region-studied'
WarningObservationElements differ in short: 'Measurements and simple assertions' vs 'Region Studied'
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.codeElements differ in short: 'Clinical Test or Procedure Name' vs '53041-0'
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 '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.value[x]Elements differ in short: 'Result Value' vs 'Actual result'
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 'Not used in this profile. MustSupport is inherited from the parent profile (USCoreObservationLab) and should be ignored by implementers for this element.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.value[x]Element maximum cardinalities differ: '1' vs '0'
WarningObservation.noteElements differ in short: 'Comments about the observation' vs 'Comments about the Observation that also contain a coded type'
WarningObservation.noteElements differ in definition: 'Comments about the observation or the results.' vs 'A text note which also contains information about who made the statement and when.'
WarningObservation.noteElements differ in comments: 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.' vs 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation. The CodedAnnotation data type, while not allowing for or intending to make the content computable, does allow the author to indicate the type of note. This does not replace the use of interpretation, value, or component values. One important note is that Annotation is a FHIR data type, this is **NOT** about annotations in the genomic context.'
WarningObservation.noteElements differ in requirements: 'Need to be able to provide free text additional information.' vs 'Need to be able to provide free text additional information. Notes SHALL NOT contain information which can be captured in a structured way.'
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/region-studied
    • 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
    .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.A subset of genes or genomic regions of interest in a targeted resequencing study.
    • Values Differ
    .experimental
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreObservationClinicalResultProfileGenomicRegionStudied
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Observation Clinical Result ProfileGenomic Region Studied Profile
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-resulthttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied
                    • Values Differ
                    .version6.0.0-ballot2.1.0
                    • 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..*RegionStudiedRegion Studied
                    • Elements differ in short: 'Measurements and simple assertions' vs 'Region Studied'
                    • 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..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: todo (preferred): A human language.

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

                          Additional BindingsPurpose
                          todoMax 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: todo (required): Codes providing the status of an observation.

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

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


                                          S1..*CodeableConceptClassification of type of observation
                                          Slice: Unordered, Open by value:coding
                                          Binding: todo (preferred): Codes for high level observation categories.


                                            ... code SΣ1..1CodeableConceptClinical Test or Procedure Name
                                            Binding: todo (extensible)
                                            SΣ1..1CodeableConcept53041-0
                                            Binding: todo (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"53041-0"}]}
                                            • Elements differ in short: 'Clinical Test or Procedure Name' vs '53041-0'
                                            • 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 '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.'
                                            ... subject SΣ1..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)Who and/or what the observation is aboutSΣ1..1Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient)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
                                              ΣTU0..*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] SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                                  us-core-1: Datetime must be at least to day.
                                                  SΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                  Slice: Unordered, Open by type:$this
                                                    ... 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.
                                                        ΣC0..0
                                                        • Elements differ in short: 'Result Value' vs 'Actual result'
                                                        • 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 'Not used in this profile. MustSupport is inherited from the parent profile (USCoreObservationLab) and should be ignored by implementers for this element.'
                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                        • Element maximum cardinalities differ: '1' vs '0'
                                                        ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                        Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                        SC0..1CodeableConceptWhy the result is missing
                                                        Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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


                                                            ... note 0..*AnnotationComments about the observation
                                                            0..*AnnotationComments about the Observation that also contain a coded type
                                                            • Elements differ in short: 'Comments about the observation' vs 'Comments about the Observation that also contain a coded type'
                                                            • Elements differ in definition: 'Comments about the observation or the results.' vs 'A text note which also contains information about who made the statement and when.'
                                                            • Elements differ in comments: 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.' vs 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation. The CodedAnnotation data type, while not allowing for or intending to make the content computable, does allow the author to indicate the type of note. This does not replace the use of interpretation, value, or component values. One important note is that Annotation is a FHIR data type, this is **NOT** about annotations in the genomic context.'
                                                            • Elements differ in requirements: 'Need to be able to provide free text additional information.' vs 'Need to be able to provide free text additional information. Notes SHALL NOT contain information which can be captured in a structured way.'
                                                            ... bodySite 0..1CodeableConceptObserved body part
                                                            Binding: todo (example): Codes describing anatomical locations. May include laterality.

                                                            0..1CodeableConceptObserved body part
                                                            Binding: todo (example): Codes describing anatomical locations. May include laterality.

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

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

                                                                ... specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                                  ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                    ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                    C0..*BackboneElementProvides guide for interpretation
                                                                      .... 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..1QuantityLow Range, if relevantC0..1QuantityLow Range, if relevant
                                                                              .... high C0..1QuantityHigh Range, if relevantC0..1QuantityHigh Range, if relevant
                                                                                .... type 0..1CodeableConceptReference range qualifier
                                                                                Binding: todo (preferred): Code for the meaning of a reference range.

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

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


                                                                                  0..*CodeableConceptReference range population
                                                                                  Binding: todo (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
                                                                                          ... 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
                                                                                            SΣ0..*BackboneElementComponent results
                                                                                            Slice: Unordered, Open by pattern:code
                                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                            .... 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: todo (example): Codes identifying names of simple observations.

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

                                                                                                      C0..1CodeableConceptWhy the component result is missing
                                                                                                      Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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