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

Left:US Core Observation Occupation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation)
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-occupation' 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: 'USCoreObservationOccupationProfile' vs 'KarnofskyPerformanceStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Occupation Profile' vs 'Karnofsky Performance Status Profile'
InformationStructureDefinition.dateValues for date differ: '2022-08-24' 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'
WarningObservationElements differ in short: 'Past Or Present Occupation' vs 'Measurements and simple assertions'
WarningObservationElements differ in definition: 'Related data elements for a current or previous job.' vs '\-'
WarningObservationElements differ in comments: 'A person can have more than one job at the same time and multiple jobs over time' vs '\-'
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: '0' vs '2'
WarningObservation.codeElements differ in short: 'Occupation history' vs 'Clinical Test Name'
WarningObservation.codeElements differ in definition: 'Describes what was observed. Sometimes this is called the observation 'name'.' 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.codeElements differ in comments: '*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.' vs '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.'
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.effective[x]Elements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.value[x]Elements differ in short: 'Actual result' vs 'Result Value'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'false' vs 'true'
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'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'

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'
    .date2022-08-242023-01-13T14:44:53+00:00
    • Values Differ
    .descriptionThe US Core Occupation Status Observation Profile is based upon the core FHIR Observation Resource and implements the US Core Data for Interoperability (USCDI) v3 Occupation status requirements. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch the "Type of work of a person" and "Type of business that compensates for work or assigns work to an unpaid worker or volunteer" associated with a patient. 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
            .nameUSCoreObservationOccupationProfileKarnofskyPerformanceStatus
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Observation Occupation ProfileKarnofsky Performance Status Profile
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupationhttp://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..*ObservationPast Or Present Occupation
                  C0..*USCoreObservationClinicalTestResultProfileMeasurements and simple assertions
                  • Elements differ in short: 'Past Or Present Occupation' vs 'Measurements and simple assertions'
                  • Elements differ in definition: 'Related data elements for a current or previous job.' vs '\-'
                  • Elements differ in comments: 'A person can have more than one job at the same time and multiple jobs over time' vs '\-'
                  ... 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 S0..*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: '0' vs '2'
                                      ... code SΣ1..1CodeableConceptOccupation history
                                      Binding: todo (example): Codes identifying names of simple observations.


                                      Required Pattern: {"coding":[{"system":"http://loinc.org","code":"11341-5"}]}
                                      SΣ1..1CodeableConceptClinical Test Name
                                      Binding: todo (extensible)
                                      Required Pattern: {"coding":[{"system":"http://loinc.org","code":"89243-0"}]}
                                      • Elements differ in short: 'Occupation history' vs 'Clinical Test Name'
                                      • Elements differ in definition: 'Describes what was observed. Sometimes this is called the observation "name".' 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.'
                                      • Elements differ in comments: '*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.' vs '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.'
                                      ... 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
                                          ... Slices for effective[x] Σ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                          Slice: Unordered, Open by type:$this
                                          SΣC0..1dateTime S, PeriodClinically relevant time/time-period for observation
                                          • Elements differ in definition for mustSupport: 'false' vs 'true'
                                          ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                            ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                            Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                              ... Slices for value[x] ΣC1..1CodeableConceptActual result
                                              Slice: Unordered, Closed by type:$this
                                              SΣC0..1integerResult Value
                                              • Elements differ in short: 'Actual result' vs 'Result Value'
                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                              • Element minimum cardinalities differ: '1' vs '0'
                                              ... dataAbsentReason C0..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.

                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                              ... 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
                                                                        ... Slices for component SΣ0..*BackboneElementComponent results
                                                                        Slice: Unordered, Open by pattern:code.coding
                                                                        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'
                                                                        • 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
                                                                              .... 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