Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-karnofsky-performance-status

Left:US Core Observation Clinical Result Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result)
Right:Karnofsky Performance Status Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-karnofsky-performance-status)

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-karnofsky-performance-status'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '2.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationClinicalResultProfile' vs 'KarnofskyPerformanceStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Clinical Result Profile' vs 'Karnofsky Performance Status 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/us/core/StructureDefinition/us-core-observation-clinical-test'
ErrorObservation.basedOnType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan]])
ErrorObservation.partOfType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationAdministration], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationDispense], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationStatement], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Immunization], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure]])
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '2'
WarningObservation.codeElements differ in short: 'Clinical Test or Procedure Name' vs 'Clinical Test 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 non-imaging or non-laboratory test performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
WarningObservation.subjectElements differ in definition: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'Patient whose performance status is recorded.'
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.'
WarningObservation.interpretationElements differ in definition for mustSupport: 'false' vs 'true'
ErrorObservation.interpretationUnable to resolve right value set http://loinc.org/vs/LL4986-7 at Observation.interpretation
WarningObservation.bodySiteElements differ in short: 'Observed body part' vs 'Not used in this profile'
WarningObservation.bodySiteElements differ in definition: 'Indicates the site on the subject's body where the observation was made (i.e. the target site).' vs 'Not used in this profile'
WarningObservation.specimenElements differ in short: 'Specimen used for this observation' vs 'Not used in this profile'
WarningObservation.specimenElements differ in definition: 'The specimen that was used when this observation was made.' vs 'Not used in this profile'
WarningObservation.deviceElements differ in short: '(Measurement) Device' vs 'Not used in this profile'
WarningObservation.deviceElements differ in definition: 'The device used to generate the observation data.' vs 'Not used in this profile'
WarningObservation.hasMemberElements differ in short: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
WarningObservation.hasMemberElements differ in definition: 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.' vs 'Not used in this profile'
WarningObservation.componentElements differ in short: 'Component results' vs 'Not used in this profile'
WarningObservation.componentElements differ in definition: 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.' vs 'Not used in this profile'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test
    • 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.The Karnofsky Performance Status (KPS) is a tool used to measure a patient's functional status. It can be used to compare the effectiveness of different therapies and to help assess the prognosis of certain patients, such as those with certain cancers. The KPS score ranges from 0 to 100 in intervals of 10. Higher scores are associated with better functional status, with 100 representing no symptoms or evidence of disease, and 0 representing death.
    • Values Differ
    .experimental
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreObservationClinicalResultProfileKarnofskyPerformanceStatus
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Observation Clinical Result ProfileKarnofsky Performance Status Profile
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-resulthttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-karnofsky-performance-status
                    • 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..*USCoreObservationClinicalTestResultProfileMeasurements 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: 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..*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..*Reference(ServiceRequest | CarePlan)Fulfills plan, proposal or order
                                        • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan]])
                                        ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                        Σ0..*Reference(Procedure)Part of referenced event
                                        • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationAdministration], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationDispense], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationStatement], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Immunization], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure]])
                                        ... 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.


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


                                          • Element minimum cardinalities differ: '1' vs '2'
                                          ... code SΣ1..1CodeableConceptClinical Test or Procedure Name
                                          Binding: todo (extensible)
                                          SΣ1..1CodeableConceptClinical Test Name
                                          Binding: todo (extensible)
                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"89243-0"}]}
                                          • Elements differ in short: 'Clinical Test or Procedure Name' vs 'Clinical Test 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 non-imaging or non-laboratory test performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
                                          ... 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
                                          • Elements differ in definition: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'Patient whose performance status is recorded.'
                                          ... 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.
                                              SΣC0..1dateTime S, PeriodClinically 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..1integerResult Value
                                                    • 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.'
                                                    ... 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.


                                                      S0..*CodeableConceptHigh, low, normal, etc.
                                                      Binding: todo (required)
                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                      • Unable to resolve right value set http://loinc.org/vs/LL4986-7 at Observation.interpretation
                                                      ... note 0..*AnnotationComments about the observation
                                                      0..*AnnotationComments about the observation
                                                        ... bodySite 0..1CodeableConceptObserved body part
                                                        Binding: todo (example): Codes describing anatomical locations. May include laterality.

                                                        0..1CodeableConceptNot used in this profile
                                                        Binding: todo (example): Codes describing anatomical locations. May include laterality.

                                                        • Elements differ in short: 'Observed body part' vs 'Not used in this profile'
                                                        • Elements differ in definition: 'Indicates the site on the subject's body where the observation was made (i.e. the target site).' vs 'Not used in this profile'
                                                        ... 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)Not used in this profile
                                                          • Elements differ in short: 'Specimen used for this observation' vs 'Not used in this profile'
                                                          • Elements differ in definition: 'The specimen that was used when this observation was made.' vs 'Not used in this profile'
                                                          ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)Not used in this profile
                                                          • Elements differ in short: '(Measurement) Device' vs 'Not used in this profile'
                                                          • Elements differ in definition: 'The device used to generate the observation data.' vs 'Not used in this profile'
                                                          ... 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)Not used in this profile
                                                                              • Elements differ in short: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
                                                                              • Elements differ in definition: 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.' vs 'Not used in this profile'
                                                                              ... 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
                                                                                Σ0..*BackboneElementNot used in this profile
                                                                                • Elements differ in short: 'Component results' vs 'Not used in this profile'
                                                                                • Elements differ in definition: 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.' vs 'Not used in this profile'
                                                                                .... 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