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

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
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-lab' 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: 'USCoreLaboratoryResultObservationProfile' vs 'KarnofskyPerformanceStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'Karnofsky Performance Status Profile'
InformationStructureDefinition.dateValues for date differ: '2022-11-19' 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/us/core/StructureDefinition/us-core-observation-clinical-result' 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: 'Laboratory Test 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 Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. 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.specimenElements differ in definition for mustSupport: 'true' vs 'false'
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/us/core/StructureDefinition/us-core-observation-clinical-resulthttp://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'
    .date2022-11-192023-01-13T14:44:53+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 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
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreLaboratoryResultObservationProfileKarnofskyPerformanceStatus
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Laboratory Result Observation ProfileKarnofsky Performance Status Profile
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://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..*USCoreObservationClinicalResultProfileMeasurements and simple assertions
                  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..1CodeableConceptLaboratory Test Name
                                        Binding: todo (extensible): Laboratory LOINC Codes

                                        SΣ1..1CodeableConceptClinical Test Name
                                        Binding: todo (extensible)
                                        Required Pattern: {"coding":[{"system":"http://loinc.org","code":"89243-0"}]}
                                        • Elements differ in short: 'Laboratory Test 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 observationSΣC0..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-4: SHOULD use Snomed CT for coded Results
                                                  SΣC0..1integerResult Value
                                                  • Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. 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 S0..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-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'
                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                        ... 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