Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities

Left:US Core Pulse Oximetry Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry)
Right:Comorbidities Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '2.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCorePulseOximetryProfile' vs 'Comorbidities'
InformationStructureDefinition.titleValues for title differ: 'US Core Pulse Oximetry Profile' vs 'Comorbidities Profile'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-01-13T14:44:53+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International Clinical Interoperability Council'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs' vs 'http://hl7.org/fhir/StructureDefinition/Observation'
WarningObservationElements differ in short: 'US Core Pulse Oximetry Profile' vs 'Measurements and simple assertions'
WarningObservationElements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements differ in comments: '\-' 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.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningObservation.extensionElements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
WarningObservation.extensionElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
WarningObservation.codeElements differ in short: 'Oxygen Saturation by Pulse Oximetry' vs 'Type of observation (code / type)'
WarningObservation.codeElements differ in definition: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: 'The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood).' 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 requirements: '5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).' vs 'Knowing what kind of observation is being made is essential to understanding the observation.'
WarningObservation.codeElements differ in binding.description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'Codes identifying names of simple observations.'
WarningObservation.code.codingElements differ in definition for mustSupport: 'true' vs 'false'
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 'The patient whose comorbidities are recorded.'
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
WarningObservation.focusElements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'The Index Condition'
WarningObservation.focusElements differ in definition: '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 'Comorbid conditions are typically defined with respect to a specific 'index' condition. For example, the US Centers for Disease Control (CDC) has provided a list of comorbid conditions important to COVID-19. In this case, the focus would be COVID-19 and the comorbid condition categories would be those specified by CDC, namely obesity, renal disease, respiratory disease, etc.'
WarningObservation.focusElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.effective[x]Elements differ in short: 'Often just a dateTime for Vital Signs' vs 'Clinically relevant time/time-period for observation'
WarningObservation.effective[x]Elements differ in definition: 'Often just a dateTime for Vital Signs.' 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.'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
WarningObservation.value[x]Elements differ in short: 'Vital Signs Value' vs 'Actual result'
WarningObservation.value[x]Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'Comorbidity score or risk index'
WarningObservation.value[x]Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
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.methodElements differ in short: 'How it was done' vs 'Comorbidity framework used.'
WarningObservation.methodElements differ in definition: 'Indicates the mechanism used to perform the observation.' vs 'The formal methodology used, such as Charlson, NCI, Elixhauser, or ACE-27. The method must be specified if a comorbidity index is specified, otherwise the index cannot be correctly interpreted.'
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: 'Used when reporting vital signs panel components' vs 'Not used in this profile'
WarningObservation.hasMemberElements differ in definition: 'Used when reporting vital signs panel components.' vs 'Not used in this profile'
ErrorObservation.hasMemberType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
WarningObservation.componentElements differ in short: 'Used when reporting flow rates or oxygen concentration.' vs 'Not used in this profile'
WarningObservation.componentElements differ in definition: 'Used when reporting flow rates or oxygen concentration.' vs 'Not used in this profile'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.codeElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.codeElements differ in binding.description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'Codes identifying names of simple observations.'
WarningObservation.component.value[x]Elements differ in short: 'Vital Sign Component Value' vs 'Actual component result'
WarningObservation.component.value[x]Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
WarningObservation.component.value[x]Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
WarningObservation.component.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signshttp://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'
    .date2022-04-202023-01-13T14:44:53+00:00
    • Values Differ
    .descriptionTo promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch pulse oximetry and inspired oxygen observations with a standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies the *additional* mandatory core elements, extensions, vocabularies and value sets which **SHALL** be present in the Observation resource when using this profile. It provides the floor for standards development for specific use cases.General structure for capturing comorbid conditions with respect to a primary ('index') condition. The user can use this profile in three ways: (1) free-form, listing any conditions they wish to highlight as significant comorbidities, (2) following a formal paradigm such as the Charlson Comorbidity Index or the NCI Comorbidity Index, or (3) use disease categories defined for registry reporting purposes, such as those defined by Center for International Blood and Marrow Transplant Research (CIBMTR).
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCorePulseOximetryProfileComorbidities
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Pulse Oximetry ProfileComorbidities Profile
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetryhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities
                  • 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..*USCoreVitalSignsProfileUS Core Pulse Oximetry Profile
                  C0..*ObservationMeasurements and simple assertions
                  • Elements differ in short: 'US Core Pulse Oximetry Profile' vs 'Measurements and simple assertions'
                  • Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                  • Elements differ in comments: '\-' 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.'
                  ... 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
                              S0..*ExtensionExtension
                              Slice: Unordered, Open by value:url
                              • Elements differ in short: 'Additional content defined by implementations' vs 'Extension'
                              • Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                              ... 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: todo (required)
                                      ?!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 value:coding.code, value:coding.system
                                        Binding: todo (preferred): Codes for high level observation categories.


                                        0..*CodeableConceptClassification of type of observation
                                        Binding: todo (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..1CodeableConceptOxygen Saturation by Pulse Oximetry
                                        Binding: todo (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

                                        SΣ1..1CodeableConceptType of observation (code / type)
                                        Binding: todo (example): Codes identifying names of simple observations.


                                        Required Pattern: {"coding":[{"system":"http://snomed.info/sct","version":"http://snomed.info/sct/900000000000207008","code":"398192003"}]}
                                        • Elements differ in short: 'Oxygen Saturation by Pulse Oximetry' vs 'Type of observation (code / type)'
                                        • Elements differ in definition: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Describes what was observed. Sometimes this is called the observation "name".'
                                        • Elements differ in comments: 'The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood).' 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.'
                                        • Elements differ in requirements: '5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).' vs 'Knowing what kind of observation is being made is essential to understanding the observation.'
                                        • Elements differ in binding.description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'Codes identifying names of simple observations.'
                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                          .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                          Slice: Unordered, Open by value:url
                                          0..*ExtensionAdditional content defined by implementations
                                          Slice: Unordered, Open by value:url
                                            .... Slices for coding SΣ0..*CodingCode defined by a terminology system
                                            Slice: Unordered, Open by pattern:$this
                                            Σ0..*CodingCode defined by a terminology system
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                              ... subject SΣ1..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)Who and/or what the observation is aboutSΣ0..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 'The patient whose comorbidities are recorded.'
                                              • Element minimum cardinalities differ: '1' vs '0'
                                              ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                              SΣ0..*Reference(http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition)The Index Condition
                                              • Elements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'The Index Condition'
                                              • Elements differ in definition: '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 'Comorbid conditions are typically defined with respect to a specific 'index' condition. For example, the US Centers for Disease Control (CDC) has provided a list of comorbid conditions important to COVID-19. In this case, the focus would be COVID-19 and the comorbid condition categories would be those specified by CDC, namely obesity, renal disease, respiratory disease, etc.'
                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                              ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                ... effective[x] SΣC1..1dateTime S, PeriodOften just a dateTime for Vital SignsSΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                • Elements differ in short: 'Often just a dateTime for Vital Signs' vs 'Clinically relevant time/time-period for observation'
                                                • Elements differ in definition: 'Often just a dateTime for Vital Signs.' 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.'
                                                • Element minimum cardinalities differ: '1' vs '0'
                                                ... 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] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Signs Value
                                                    Slice: Unordered, Open by type:$this
                                                    Binding: todo (extensible): Common UCUM units for recording Vital Signs.

                                                    ΣC0..1Quantity, integerActual result
                                                    • Elements differ in short: 'Vital Signs Value' vs 'Actual result'
                                                    • Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'Comorbidity score or risk index'
                                                    • Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                    ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                    Binding: todo (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                    ... 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.


                                                      ... 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..1CodeableConceptComorbidity framework used.
                                                        Binding: todo (example): Methods for simple observations.

                                                        • Elements differ in short: 'How it was done' vs 'Comorbidity framework used.'
                                                        • Elements differ in definition: 'Indicates the mechanism used to perform the observation.' vs 'The formal methodology used, such as Charlson, NCI, Elixhauser, or ACE-27. The method must be specified if a comorbidity index is specified, otherwise the index cannot be correctly interpreted.'
                                                        ... 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                            Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Not used in this profile
                                                                            • Elements differ in short: 'Used when reporting vital signs panel components' vs 'Not used in this profile'
                                                                            • Elements differ in definition: 'Used when reporting vital signs panel components.' vs 'Not used in this profile'
                                                                            • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                                            ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)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 SΣC0..*BackboneElementUsed when reporting flow rates or oxygen concentration.
                                                                              Slice: Unordered, Open by pattern:code
                                                                              Σ0..*BackboneElementNot used in this profile
                                                                              • Elements differ in short: 'Used when reporting flow rates or oxygen concentration.' vs 'Not used in this profile'
                                                                              • Elements differ in definition: 'Used when reporting flow rates or oxygen concentration.' 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 SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                    Binding: todo (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

                                                                                    Σ1..1CodeableConceptType of component observation (code / type)
                                                                                    Binding: todo (example): Codes identifying names of simple observations.

                                                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                    • Elements differ in binding.description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'Codes identifying names of simple observations.'
                                                                                    .... value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component Value
                                                                                    Binding: todo (extensible): Common UCUM units for recording Vital Signs.

                                                                                    Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                    • Elements differ in short: 'Vital Sign Component Value' vs 'Actual component result'
                                                                                    • Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
                                                                                    • Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
                                                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                    .... dataAbsentReason SC0..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.

                                                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                    .... 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