Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant

Left:US Core Simple Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation)
Right:Genomic Variant Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant)

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-genomic-variant'
ErrorStructureDefinition.versionValues for version differ: '7.0.0-ballot' vs '4.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'USCoreSimpleObservationProfile' vs 'GenomicVariant'
InformationStructureDefinition.titleValues for title differ: 'US Core Simple Observation Profile' vs 'Genomic Variant Profile'
InformationStructureDefinition.dateValues for date differ: '2023-10-17' vs '2024-03-26T13:46:20+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Clinical Interoperability Council'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant'
InformationStructureDefinition.shortValues for short differ: 'assessment observation' vs 'Variant'
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: 'Type of observation (code / type)' vs '69548-6'
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
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.'
WarningObservation.performerElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Comments about the observation' vs 'Comments about the Observation that also contain a coded type'
InformationStructureDefinition.definitionValues for definition differ: 'Comments about the observation or the results.' vs 'A text note which also contains information about who made the statement and when.'
InformationStructureDefinition.commentValues for comment differ: 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.' vs 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation. The CodedAnnotation data type, while not allowing for or intending to make the content computable, does allow the author to indicate the type of note. This does not replace the use of interpretation, value, or component values. One important note is that Annotation is a FHIR data type, this is **NOT** about annotations in the genomic context.'
InformationStructureDefinition.requirementsValues for requirements differ: 'Need to be able to provide free text additional information.' vs 'Need to be able to provide free text additional information. Notes SHALL NOT contain information which can be captured in a structured way.'
InformationStructureDefinition.shortValues for short differ: 'How it was done' vs 'Sequencing | SNP array | PCR | Computational analysis | ...'
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.specimenElements differ in definition for mustSupport: 'false' vs 'true'
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.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/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.' 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](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 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]])
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant
    • 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'
    .date2023-10-172024-03-26T13:46:20+00:00
    • Values Differ
    .descriptionThis profile represents a person’s care preferences during their care and treatment. Examples include, but are not limited to religious preferences, dislikes and fears, and thoughts and feelings to be shared. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch for a patient's care experience preferences. 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.Details about a set of changes in the tested sample compared to a reference sequence. The term variant can be used to describe an alteration that may be benign, pathogenic, or of unknown significance. The term variant is increasingly being used in place of the term mutation. Variants can be computed relative to reference sequence assembly from which it was identified.
    • Values Differ
    .experimental
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreSimpleObservationProfileGenomicVariant
              • Values Differ
              .publisherHL7 International / Cross-Group ProjectsHL7 International / Clinical Interoperability Council
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Simple Observation ProfileGenomic Variant Profile
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observationhttp://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant
                    • Values Differ
                    .version7.0.0-ballot4.0.0-ballot
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Observation C0..*Observationassessment observation
                    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
                    C0..*VariantVariant
                    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
                      ... 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..1coderegistered | 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..*CodeableConceptClassification of type of observation
                                              Slice: Unordered, Open by pattern:$this
                                              Binding: ?? (preferred): Codes for high level observation categories.


                                              S1..*CodeableConceptClassification of type of observation
                                              Slice: Unordered, Open by value:coding
                                              Binding: ?? (preferred): Codes for high level observation categories.


                                                ... code SΣ1..1CodeableConceptType of observation (code / type)
                                                Binding: ?? (preferred)
                                                SΣ1..1CodeableConcept69548-6
                                                Binding: ?? (example): Codes identifying names of simple observations.


                                                Required Pattern: {"coding":[{"system":"http://loinc.org","code":"69548-6"}]}
                                                  ... subject SΣ1..1Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)Who and/or what the observation is aboutSΣ0..1Reference(Cancer Patient Profile)Who and/or what the observation is about
                                                  • Element minimum cardinalities differ: '1' vs '0'
                                                  ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                  Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                    ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                      ... effective[x] SΣ0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observationSΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                      Slice: Unordered, Open by type:$this
                                                        ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                          ... performer SΣ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                          Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                          ... value[x] SΣC0..1Quantity S, CodeableConcept S, string S, boolean S, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultSΣC0..1CodeableConceptActual result
                                                          Slice: Unordered, Closed by type:$this
                                                            ... dataAbsentReason C0..1CodeableConceptWhy the result is missing
                                                            Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                            SC0..1CodeableConceptWhy the result is missing
                                                            Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                            ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                            Binding: ?? (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..*??Comments about the Observation that also contain a coded type
                                                                ... 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..1CodeableConceptSequencing | SNP array | PCR | Computational analysis | ...
                                                                  Binding: ?? (extensible)
                                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                  ... specimen 0..1Reference(Specimen)Specimen used for this observationS0..1Reference(Human Specimen Profile)Specimen used for this observation
                                                                  • 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..*BackboneElementNot used in this profile
                                                                    obs-3: Must have at least a low or a high or text
                                                                      .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                        .... extension 0..*ExtensionAdditional content defined by implementations
                                                                        0..*ExtensionAdditional content defined by implementations
                                                                          .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                            .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                              .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                                .... type 0..1CodeableConceptReference range qualifier
                                                                                Binding: ?? (preferred): Code for the meaning of a reference range.

                                                                                0..1CodeableConceptReference range qualifier
                                                                                Binding: ?? (preferred): Code for the meaning of a reference range.

                                                                                  .... appliesTo 0..*CodeableConceptReference range population
                                                                                  Binding: ?? (example): Codes identifying the population the reference range applies to.


                                                                                  0..*CodeableConceptReference range population
                                                                                  Binding: ?? (example): Codes identifying the population the reference range applies to.


                                                                                    .... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                      .... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                        ... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                        Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Not used in this profile
                                                                                          ... derivedFrom Σ0..*Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence)𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 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
                                                                                          SΣ0..*BackboneElementComponent results
                                                                                          Slice: Unordered, Open by pattern:code
                                                                                          • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                          .... 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