Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-history-of-metastatic-cancer

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:History of Metastatic Cancer (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-history-of-metastatic-cancer)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-history-of-metastatic-cancer'
ErrorStructureDefinition.versionValues for version differ: '7.0.0-ballot' vs '4.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'HistoryOfMetastaticCancer'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'History of Metastatic Cancer'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2023-10-17' vs '2024-03-01T20:32:55+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/us/core/StructureDefinition/us-core-observation-clinical-result' vs 'http://hl7.org/fhir/StructureDefinition/Observation'
InformationStructureDefinition.definitionValues for definition differ: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
InformationStructureDefinition.commentValues for comment differ: '\-' 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.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Laboratory Test Name' vs 'Type of observation (code / type)'
InformationStructureDefinition.definitionValues for definition differ: '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'.'
InformationStructureDefinition.commentValues for comment differ: '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.codeElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Encounter associated with Observation' vs 'Healthcare event during which this observation is made'
WarningObservation.encounterElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Result Value' vs 'Actual result'
InformationStructureDefinition.definitionValues for definition differ: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults) if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org). A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) 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.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Result interpretation' vs 'High, low, normal, etc.'
InformationStructureDefinition.commentValues for comment differ: 'Categorical assessment of a laboratory value, often in relation to a test's reference range. Examples include but are not limited to high, low, critical, and normal.' vs 'Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.'
WarningObservation.interpretationElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.specimenElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Result reference range' vs 'Provides guide for interpretation'
InformationStructureDefinition.commentValues for comment differ: 'Upper and lower limit of test values expected for a designated population of individuals. Reference range values may differ by patient characteristics, laboratory test manufacturer and laboratory test performer.' vs 'Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.'
WarningObservation.referenceRangeElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-resulthttp://hl7.org/fhir/StructureDefinition/Observation
    • 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'
    .date2023-10-172024-03-01T20:32:55+00:00
    • Values Differ
    .descriptionThe US Core Laboratory Result Observation Profile is based upon the US Core Observation Clinical Result Profile and, along with the US Core DiagnosticReport Profile for Laboratory Results Reporting, meets the U.S. Core Data for Interoperability (USCDI) Laboratory requirements. Laboratory results are grouped and summarized using the DiagnosticReport resource, which references Observation resources. Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) that references other observations, or rarely a laboratory test with component result values. The US Core Laboratory Result Observation Profile sets minimum expectations for the Observation resource to record, search, and fetch laboratory test 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 and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.Records the existence of a past episode of metastatic cancer, for the purpose of long term management and tracking.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreLaboratoryResultObservationProfileHistoryOfMetastaticCancer
            • Values Differ
            .publisherHL7 International / Cross-Group ProjectsHL7 International / Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactivedraft
              • Values Differ
              .titleUS Core Laboratory Result Observation ProfileHistory of Metastatic Cancer
              • Values Differ
              .typeObservation
                .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-history-of-metastatic-cancer
                • Values Differ
                .version7.0.0-ballot4.0.0-ballot
                • Values Differ

                Structure

                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                .. Observation C0..*USCoreObservationClinicalResultProfileMeasurements and simple assertions
                obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                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..*ObservationMeasurements and simple assertions
                obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                  ... 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: ?? (preferred): A human language.

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

                        Additional BindingsPurpose
                        ??Max 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(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: ?? (required): Codes providing the status of an observation.

                                        ?!Σ1..1coderegistered | preliminary | final | amended +
                                        Binding: ?? (required): Codes providing the status of an observation.

                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... Slices for category S1..*CodeableConceptClassification of type of observation
                                        Slice: Unordered, Open by pattern:$this
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        0..*CodeableConceptClassification of type of observation
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element minimum cardinalities differ: '1' vs '0'
                                        ... code SΣ1..1CodeableConceptLaboratory Test Name
                                        Binding: ?? (extensible): Laboratory LOINC Codes

                                        Σ1..1CodeableConceptType of observation (code / type)
                                        Binding: ?? (extensible)
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... subject SΣ1..1Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)Who and/or what the observation is aboutΣ0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element minimum cardinalities differ: '1' vs '0'
                                        ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                        Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                          ... encounter SΣ0..1Reference(US Core Encounter Profile)Encounter associated with ObservationΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... effective[x] SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                          us-core-1: Datetime must be at least to day.
                                          Σ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... 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.
                                              us-core-4: SHOULD use Snomed CT for coded Results
                                              SΣC0..1booleanActual result
                                                ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                ... interpretation S0..*CodeableConceptResult interpretation
                                                Binding: ?? (extensible): Observation Interpretation Codes


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


                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                ... note 0..*AnnotationComments about the observation
                                                0..*AnnotationComments about the observation
                                                  ... bodySite 0..1CodeableConceptObserved body part
                                                  Binding: ?? (example): Codes describing anatomical locations. May include laterality.

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

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

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

                                                      ... specimen S0..1Reference(US Core Specimen Profile)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                        ... referenceRange SC0..*BackboneElementResult reference range
                                                        obs-3: Must have at least a low or a high or text
                                                        C0..*BackboneElementProvides guide for interpretation
                                                        obs-3: Must have at least a low or a high or text
                                                        • 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
                                                              .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                  .... type 0..1CodeableConceptReference range qualifier
                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.

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

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


                                                                    0..*CodeableConceptReference range population
                                                                    Binding: ?? (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
                                                                              Σ0..*BackboneElementComponent results
                                                                                .... 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: ?? (example): Codes identifying names of simple observations.

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

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

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


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