Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status

Left:US Core Simple Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation)
Right:Cancer Disease Status Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status'
ErrorStructureDefinition.versionValues for version differ: '6.1.0' vs '3.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSimpleObservationProfile' vs 'CancerDiseaseStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Simple Observation Profile' vs 'Cancer Disease Status Profile'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-10-25T20:34:07+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Clinical Interoperability Council'
InformationStructureDefinition.shortValues for short differ: 'assessment observation' 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.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: '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'
InformationStructureDefinition.shortValues for short differ: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Type of observation (code / type)' vs 'Type of observation (code / type)'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
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 'Patient whose disease status is recorded.'
WarningObservation.focusElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Clinically relevant time/time-period for observation' vs 'Clinically relevant time/time-period for observation'
InformationStructureDefinition.definitionValues for definition differ: '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'.' 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.' 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.'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Who is responsible for the observation' vs 'Who is responsible for the observation'
WarningObservation.performerElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: '(USCDI) Actual result' vs 'Actual result'
InformationStructureDefinition.shortValues for short differ: 'Specimen used for this observation' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'The specimen that was used when this observation was made.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: '(Measurement) Device' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'The device used to generate the observation data.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: 'Provides guide for interpretation' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an 'OR'. In other words, to represent two distinct target populations, two `referenceRange` elements would be used.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: 'Related resource that belongs to the Observation group' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.' vs 'Not used in this profile'
InformationStructureDefinition.shortValues for short differ: '(USCDI) US Core Profiles or other resource the observation is made from' vs 'Related measurements the observation is made from'
InformationStructureDefinition.definitionValues for definition differ: 'US Core Observations, DocumentReference, QuestionnaireResponse or other resource from which this observation value is derived.' vs 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.'
ErrorObservation.derivedFromType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
InformationStructureDefinition.shortValues for short differ: 'Component results' vs 'Not used in this profile'
InformationStructureDefinition.definitionValues for definition differ: 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.' vs 'Not used in this profile'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/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'
      .date2022-04-202023-10-25T20:34:07+00:00
      • Values Differ
      .descriptionThis US Core FHIR Profile is meant to capture any “simple” observations that are not otherwise covered by other US Core Observation profiles. It represents any type of observation that is not classified as vital signs, laboratory, imaging, or other more specific observation types. This profile promotes interoperability and adoption through common implementation by setting minimum expectations for the Observation resource to record, search, and retrieve observations such as a clinical observation or assertion about a patient's health status or other general observations. This profile 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.A clinician's qualitative judgment on the current trend of the cancer, e.g., whether it is stable, worsening (progressing), or improving (responding). The judgment may be based a single type or multiple kinds of evidence, such as imaging data, assessment of symptoms, tumor markers, laboratory data, etc.
      • Values Differ
      .experimental
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreSimpleObservationProfileCancerDiseaseStatus
                • Values Differ
                .publisherHL7 International - Cross-Group ProjectsHL7 International / Clinical Interoperability Council
                • Values Differ
                .purpose
                  .statusactivedraft
                  • Values Differ
                  .titleUS Core Simple Observation ProfileCancer Disease Status Profile
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observationhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status
                    • Values Differ
                    .version6.1.03.0.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Observation C0..*Observationassessment observation
                    C0..*ObservationMeasurements and simple assertions
                      ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                        ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                          ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                            ... language 0..1codeLanguage of the resource content
                            Binding: ?? (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..*ExtensionExtension
                                  Slice: Unordered, Open by value:url
                                    ... 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..1code(USCDI) registered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.

                                            ?!SΣ1..1coderegistered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.

                                              ... Slices for category S1..*CodeableConcept(USCDI) Classification of type of observation
                                              Slice: Unordered, Open by pattern:$this
                                              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..1CodeableConcept(USCDI) Type of observation (code / type)
                                              Binding: ?? (preferred)
                                              SΣ1..1CodeableConceptType of observation (code / type)
                                              Binding: ?? (example): Codes identifying names of simple observations.


                                              Required Pattern: {"coding":[{"system":"http://loinc.org","code":"97509-4"}]}
                                                ... subject SΣ1..1Reference(US Core Patient Profile)(USCDI) Who and/or what the observation is aboutSΣ1..1Reference(Cancer Patient Profile)Who and/or what the observation is about
                                                  ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                  SΣ0..*Reference(US Core Condition Problems and Health Concerns Profile | Tumor Profile | Radiotherapy Volume Profile)What the observation is about, when it is not about the subject of record
                                                  • 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] SΣ0..1dateTime S, Period, Timing, instant(USCDI) Clinically relevant time/time-period for observationSΣ0..1dateTimeClinically relevant time/time-period for observation
                                                      ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                        ... performer SΣ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)(USCDI) Who is responsible for the observation
                                                        Σ0..*Reference(US Core Practitioner Profile)Who is responsible for the observation
                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                        ... value[x] SΣC0..1Quantity S, CodeableConcept S, string S, boolean S, integer, Range, Ratio, SampledData, time, dateTime, Period(USCDI) Actual resultSΣC0..1CodeableConceptActual result
                                                        Binding: ?? (preferred)
                                                        Additional BindingsPurpose
                                                        ??Max Binding
                                                          ... 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.

                                                                  0..1CodeableConceptHow it was done
                                                                  Binding: ?? (example): Methods for simple observations.

                                                                    ... specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Not used in this profile
                                                                      ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)Not used in this profile
                                                                        ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                        C0..*BackboneElementNot used in this profile
                                                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                            .... extension 0..*ExtensionAdditional content defined by implementations
                                                                            0..*ExtensionAdditional content defined by implementations
                                                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                .... 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)Not used in this profile
                                                                                              ... derivedFrom Σ0..*Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence)(USCDI) US Core Profiles or other resource the observation is made from
                                                                                              Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                              • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                                                              ... component Σ0..*BackboneElementComponent results
                                                                                              Σ0..*BackboneElementNot used in this profile
                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                      .... code Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                      Binding: ?? (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