Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size

Left:US Core Respiratory Rate Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate)
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-respiratory-rate' 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: 'USCoreRespiratoryRateProfile' vs 'TumorSize'
InformationStructureDefinition.titleValues for title differ: 'US Core Respiratory Rate Profile' vs 'Tumor Size Profile'
InformationStructureDefinition.dateValues for date differ: '2023-10-17' vs '2024-04-09T21:21:25+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'
InformationStructureDefinition.shortValues for short differ: 'US Core Respiratory Rate Profile' vs 'Measurements and simple assertions'
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.'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.commentValues for comment differ: 'To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below for guidance on referencing another Observation.' vs 'To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Respiratory Rate' vs 'Type of observation (code / type)'
InformationStructureDefinition.definitionValues for definition differ: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
InformationStructureDefinition.requirementsValues for requirements differ: '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.'
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/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.shortValues for short differ: 'Often just a dateTime for Vital Signs' vs 'Clinically relevant time/time-period for observation'
InformationStructureDefinition.definitionValues for definition differ: '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.'
InformationStructureDefinition.commentValues for comment differ: 'At least a date should be present unless this observation is a historical report. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing](http://hl7.org/fhir/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.' vs 'At least a date should be present unless this observation is a historical report. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.commentValues for comment differ: 'For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.' vs 'For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.'
InformationStructureDefinition.shortValues for short differ: 'Vital Signs Value' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'Not used in this profile'
InformationStructureDefinition.commentValues for comment differ: 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/observation.html#notes) below.' vs 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.'
InformationStructureDefinition.requirementsValues for requirements differ: '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'
InformationStructureDefinition.commentValues for comment differ: 'Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/extension-bodysite.html).' vs 'Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).'
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'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Used when reporting vital signs panel components' vs 'Related resource that belongs to the Observation group'
InformationStructureDefinition.definitionValues for definition differ: 'Used when reporting vital signs panel components.' vs '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.'
InformationStructureDefinition.commentValues for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.'
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]])
InformationStructureDefinition.commentValues for comment differ: 'All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below.' vs 'All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.'
InformationStructureDefinition.shortValues for short differ: 'Component observations' vs 'Component results'
InformationStructureDefinition.definitionValues for definition differ: 'Used when reporting component observation such as systolic and diastolic blood pressure.' vs '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.'
InformationStructureDefinition.commentValues for comment differ: 'For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/observation.html#notes) below.' vs 'For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.'
InformationObservation.componentElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
WarningObservation.component.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Vital Sign Component Value' vs 'Actual component result'
InformationStructureDefinition.definitionValues for definition differ: '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.'
InformationStructureDefinition.commentValues for comment differ: 'Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/observation.html#notes) below.' vs 'Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.'
InformationStructureDefinition.requirementsValues for requirements differ: '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'
    .date2023-10-172024-04-09T21:21:25+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 respiratory rate observations with a standard LOINC code and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the 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
            .nameUSCoreRespiratoryRateProfileTumorSize
            • Values Differ
            .publisherHL7 International / Cross-Group ProjectsHL7 International / Clinical Interoperability Council
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Respiratory Rate ProfileTumor Size Profile
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-ratehttp://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.R TypeR Description & ConstraintsCommentsdoco
                  .. Observation C0..*USCoreVitalSignsProfileUS Core Respiratory Rate Profile
                  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
                  vs-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'
                                          ... Slices for category S1..*CodeableConceptClassification of type of observation
                                          Slice: Unordered, Open by value:coding.code, value:coding.system
                                          Binding: ?? (preferred): Codes for high level observation categories.


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


                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          • Element minimum cardinalities differ: '1' vs '0'
                                          ... code SΣ1..1CodeableConceptRespiratory Rate
                                          Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.


                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"9279-1"}]}
                                          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] SΣC1..1dateTime S, PeriodOften just a dateTime for Vital Signs
                                                vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
                                                SΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                • 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: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                    ΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodNot used in this profile
                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                    ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                    Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                    ... interpretation 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                • 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
                                                                                  ... component SΣC0..*BackboneElementComponent observations
                                                                                  vs-3: If there is no a value a data absent reason must be present
                                                                                  SΣ1..*BackboneElementComponent results
                                                                                  Slice: Unordered, Open by pattern:code
                                                                                  • 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 SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                        Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

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

                                                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                        .... value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component Value
                                                                                        Binding: ?? (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 definition for mustSupport: 'true' vs 'false'
                                                                                        .... dataAbsentReason SC0..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.

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