Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size

Left:US Core Observation Sexual Orientation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation)
Right:Tumor Size Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size'
ErrorStructureDefinition.versionValues for version differ: '7.0.0-ballot' vs '4.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationSexualOrientationProfile' vs 'TumorSize'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Sexual Orientation Profile' vs 'Tumor Size Profile'
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'
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'
InformationStructureDefinition.shortValues for short differ: 'Sexual Orientation' vs 'Type of observation (code / type)'
InformationStructureDefinition.shortValues for short differ: 'Who and/or what the observation is about' vs 'The patient whose tumor was measured.'
InformationStructureDefinition.definitionValues for definition differ: '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 'The patient whose tumor was measured. SHALL be a `Patient` resource conforming to `CancerPatient`.'
InformationStructureDefinition.shortValues for short differ: 'What the observation is about, when it is not about the subject of record' vs 'Identifies a tumor that has NOT been removed from the body'
InformationStructureDefinition.definitionValues for definition differ: 'The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.' vs 'Reference to a BodyStructure resource conforming to Tumor.'
InformationStructureDefinition.commentValues for comment differ: 'Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., 'Blood Glucose') and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).' vs 'Use **only** when the tumor **has not** been removed from the body. If the tumor has been removed, use `specimen` instead and leave `focus` empty.'
WarningObservation.focusElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '1'
InformationStructureDefinition.definitionValues for definition differ: 'This records the time during which the patient had identified their emotional, romantic, sexual, or affectional attraction to another person.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.'
InformationStructureDefinition.shortValues for short differ: 'Actual result' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'The information determined as a result of making the observation, if the information has a simple value.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: 'How it was done' vs 'Method for measuring the tumor'
InformationStructureDefinition.definitionValues for definition differ: 'Indicates the mechanism used to perform the observation.' vs 'Method for measuring the tumor'
InformationStructureDefinition.commentValues for comment differ: 'Only used if not implicit in code for Observation.code.' vs 'Tumors are typically measured via gross pathology after excision, or via diagnostic imaging or physical exam prior to removal. If `specimen` is set, `method` is expected to be a 'gross pathology' code. If `focus` is set, `method` is expected to be a type of diagnostic imaging or physical exam.'
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Specimen used for this observation' vs 'Identifies a tumor that has been removed from the body'
InformationStructureDefinition.definitionValues for definition differ: 'The specimen that was used when this observation was made.' vs 'Reference to a Specimen resource consistent with HumanSpecimen with type = http://terminology.hl7.org/CodeSystem/v2-0487#TUMOR.'
InformationStructureDefinition.commentValues for comment differ: 'Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).' vs 'Use specimen **only** when the tumor **has** been removed from the body. If the tumor has been not removed, use `focus` instead and leave `specimen` empty.'
WarningObservation.specimenElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.componentElement minimum cardinalities differ: '0' vs '1'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .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 Observation Sexual Orientation Profile meets the U.S. Core Data for Interoperability (USCDI) v2 'Sexual Orientation' requirements. this profile sets minimum expectations for the Observation resource to record, search, and fetch sexual orientation observations 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 dimensions of a tumor
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreObservationSexualOrientationProfileTumorSize
              • Values Differ
              .publisherHL7 International / Cross-Group ProjectsHL7 International / Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactivedraft
                • Values Differ
                .titleUS Core Observation Sexual Orientation ProfileTumor Size Profile
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientationhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size
                  • 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..*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
                  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
                  must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
                    ... 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)
                                          ?!Σ1..1coderegistered | preliminary | final | amended +
                                          Binding: ?? (required): Codes providing the status of an observation.

                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... category 0..*CodeableConceptClassification of type of observation
                                          Binding: ?? (preferred): Codes for high level observation categories.


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


                                            ... code SΣ1..1CodeableConceptSexual Orientation
                                            Binding: ?? (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"76690-7"}]}
                                            SΣ1..1CodeableConceptType of observation (code / type)
                                            Binding: ?? (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"21889-1"}]}
                                              ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(Cancer Patient Profile)The patient whose tumor was measured.
                                                ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                SΣ0..1Reference(Tumor Profile)Identifies a tumor that has NOT been removed from the body
                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                • Element maximum cardinalities differ: '2147483647' vs '1'
                                                ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                  ... effective[x] SΣ0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observationSΣ0..1dateTime, Period, Timing, instantClinically 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
                                                        ... Slices for value[x] ΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                        Slice: Unordered, Open by type:$this
                                                        ΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodNot used in this profile
                                                          ... dataAbsentReason C0..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.

                                                            ... 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.


                                                              ... 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.

                                                                  S0..1CodeableConceptMethod for measuring the tumor
                                                                  Binding: ?? (extensible)
                                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                  ... specimen 0..1Reference(Specimen)Specimen used for this observationS0..1Reference(Human Specimen Profile)Identifies a tumor that has been removed from the body
                                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                  ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                    ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                    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
                                                                      .... 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
                                                                                            SΣ1..*BackboneElementComponent results
                                                                                            Slice: Unordered, Open by pattern:code
                                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                            • Element minimum cardinalities differ: '0' vs '1'
                                                                                            .... 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