Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-episode

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:Military Service Episode (http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-episode)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-episode'
ErrorStructureDefinition.versionValues for version differ: '6.1.0-snapshot1' vs '1.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'MilitaryServiceEpisode'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'Military Service Episode'
InformationStructureDefinition.dateValues for date differ: '2022-11-19' vs '2023-05-30T13:35:06+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'Cross Group Projects WG'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result' vs 'http://hl7.org/fhir/StructureDefinition/Observation'
WarningObservationElements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.'
InformationObservation.idElement minimum cardinalities differ: '0' vs '1'
InformationObservation.identifierElement maximum cardinalities differ: '2147483647' vs '1'
InformationObservation.basedOnElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.partOfElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.statusElements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
WarningObservation.categoryElements differ in short: '(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'
WarningObservation.codeElements differ in short: '(USCDI) Laboratory Test Name' vs 'Type of observation (code / type)'
WarningObservation.codeElements differ in definition: 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.' vs '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
WarningObservation.codeElements differ in binding.description: 'Laboratory LOINC Codes' vs 'Codes identifying names of simple observations.'
WarningObservation.subjectElements differ in short: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.encounterElement maximum cardinalities differ: '1' vs '0'
WarningObservation.effective[x]Elements differ in short: '(USCDI) Clinically relevant time/time-period for observation' vs 'Clinically relevant time/time-period for observation'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.effective[x]Element minimum cardinalities differ: '0' vs '1'
InformationObservation.issuedElement maximum cardinalities differ: '1' vs '0'
InformationObservation.performerElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.value[x]Elements differ in short: '(USCDI) Result Value' vs 'Actual result'
WarningObservation.value[x]Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.dataAbsentReasonElements differ in short: '(USCDI) Why the result is missing' vs 'Why the result is missing'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.dataAbsentReasonElement maximum cardinalities differ: '1' vs '0'
InformationObservation.interpretationElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.bodySiteElement maximum cardinalities differ: '1' vs '0'
InformationObservation.methodElement maximum cardinalities differ: '1' vs '0'
WarningObservation.specimenElements differ in short: '(USCDI) Specimen used for this observation' vs 'Specimen used for this observation'
WarningObservation.specimenElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.specimenElement maximum cardinalities differ: '1' vs '0'
InformationObservation.deviceElement maximum cardinalities differ: '1' vs '0'
InformationObservation.referenceRangeElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.derivedFromElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.componentElement minimum cardinalities differ: '0' vs '1'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-resulthttp://hl7.org/fhir/StructureDefinition/Observation
    • Values Differ
    .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
    • Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
    .date2022-11-192023-05-30T13:35:06+00:00
    • Values Differ
    .descriptionThe US Core Laboratory Result Observation Profile is based upon the US Core Observation Clinical Result Profile and, along with the US Core DiagnosticReport Profile for Laboratory Results Reporting, meets the U.S. Core Data for Interoperability (USCDI) Laboratory requirements. Laboratory results are grouped and summarized using the DiagnosticReport resource, which references Observation resources. Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) that references other observations, or rarely a laboratory test with component result values. The US Core Laboratory Result Observation Profile sets minimum expectations for the Observation resource to record, search, and fetch laboratory test results associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.Military Service Episode describes a patient/veterans overall experiences of a militiary employment. The profile references military deployments and occupations as well as military branche, seperation and discharge status. A patient/Veteran may have zero or more military service episodes. The episode documents the time spent in the military organization, the dischage status and reason, and a collection of deployment episodes
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreLaboratoryResultObservationProfileMilitaryServiceEpisode
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsCross Group Projects WG
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Laboratory Result Observation ProfileMilitary Service Episode
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://hl7.org/fhir/us/military-service/StructureDefinition/military-service-episode
                  • Values Differ
                  .version6.1.0-snapshot11.0.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation C0..*USCoreObservationClinicalResultProfileMeasurements and simple assertions
                  C0..*ObservationMeasurements and simple assertions
                  • Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                  • Elements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.'
                  ... id Σ0..1idLogical id of this artifactΣ1..1idLogical id of this artifact
                  • Element minimum cardinalities differ: '0' vs '1'
                  ... 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..1IdentifierBusiness Identifier for observation
                                • Element maximum cardinalities differ: '2147483647' vs '1'
                                ... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                Σ0..0
                                • Element maximum cardinalities differ: '2147483647' vs '0'
                                ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                Σ0..0
                                • Element maximum cardinalities differ: '2147483647' vs '0'
                                ... 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.

                                • Elements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
                                ... 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 short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                • Element minimum cardinalities differ: '1' vs '0'
                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                  Slice: Unordered, Open by value:url
                                  0..*ExtensionAdditional content defined by implementations
                                  Slice: Unordered, Open by value:url
                                    .... coding Σ0..*CodingCode defined by a terminology system
                                    Σ0..*CodingCode defined by a terminology system

                                    Required Pattern: {"system":"http://terminology.hl7.org/CodeSystem/observation-category","code":"social-history"}
                                      .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                        ... code SΣ1..1CodeableConcept(USCDI) Laboratory Test Name
                                        Binding: ?? (extensible): Laboratory LOINC Codes

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


                                        Required Pattern: {"coding":[{"system":"http://loinc.org","code":"87511-2"}]}
                                        • Elements differ in short: '(USCDI) Laboratory Test Name' vs 'Type of observation (code / type)'
                                        • Elements differ in definition: 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation "name".'
                                        • Elements differ in comments: 'The typical patterns for codes are: 1) a LOINC code either as a translation from a "local" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.' vs '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
                                        • Elements differ in binding.description: 'Laboratory LOINC Codes' vs 'Codes identifying names of simple observations.'
                                        ... subject SΣ1..1Reference(US Core Patient Profile)(USCDI) Who and/or what the observation is aboutSΣ1..1Reference(US Veteran)Who and/or what the observation is about
                                        • Elements differ in short: '(USCDI) Who and/or what the observation is about' vs '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
                                        Σ0..0
                                        • Element maximum cardinalities differ: '2147483647' vs '0'
                                        ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..0
                                        • Element maximum cardinalities differ: '1' vs '0'
                                        ... effective[x] SΣC0..1dateTime S, Period, Timing, instant(USCDI) Clinically relevant time/time-period for observationΣ1..1PeriodClinically relevant time/time-period for observation
                                        Slice: Unordered, Closed by type:$this
                                        • Elements differ in short: '(USCDI) Clinically relevant time/time-period for observation' vs 'Clinically relevant time/time-period for observation'
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element minimum cardinalities differ: '0' vs '1'
                                        ... issued Σ0..1instantDate/Time this version was made availableΣ0..0
                                        • Element maximum cardinalities differ: '1' vs '0'
                                        ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                        Σ0..0
                                        • Element maximum cardinalities differ: '2147483647' vs '0'
                                        ... value[x] SΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period(USCDI) Result Value
                                        us-core-4: SHOULD use Snomed CT for coded Results
                                        ΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                        • Elements differ in short: '(USCDI) Result Value' vs 'Actual result'
                                        • Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... dataAbsentReason SC0..1CodeableConcept(USCDI) Why the result is missing
                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                        C0..0
                                        • Elements differ in short: '(USCDI) Why the result is missing' vs 'Why the result is missing'
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element maximum cardinalities differ: '1' vs '0'
                                        ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                        Binding: ?? (extensible): Codes identifying interpretations of observations.


                                        0..0
                                        • Element maximum cardinalities differ: '2147483647' vs '0'
                                        ... 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..0
                                          • Element maximum cardinalities differ: '1' vs '0'
                                          ... method 0..1CodeableConceptHow it was done
                                          Binding: ?? (example): Methods for simple observations.

                                          0..0
                                          • Element maximum cardinalities differ: '1' vs '0'
                                          ... specimen S0..1Reference(US Core Specimen Profile)(USCDI) Specimen used for this observation0..0
                                          • Elements differ in short: '(USCDI) Specimen used for this observation' vs 'Specimen used for this observation'
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          • Element maximum cardinalities differ: '1' vs '0'
                                          ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..0
                                          • Element maximum cardinalities differ: '1' vs '0'
                                          ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                          C0..0
                                          • Element maximum cardinalities differ: '2147483647' vs '0'
                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                            .... extension 0..*ExtensionAdditional content defined by implementations
                                            0..*ExtensionAdditional content defined by implementations
                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                  .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                    .... type 0..1CodeableConceptReference range qualifier
                                                    Binding: ?? (preferred): Code for the meaning of a reference range.

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

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


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


                                                        .... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                          .... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                            ... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                            Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                            Slice: Unordered, Open by profile:$this.resolve()
                                                              ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                              Σ0..0
                                                              • Element maximum cardinalities differ: '2147483647' vs '0'
                                                              ... component Σ0..*BackboneElementComponent results
                                                              SΣ1..*BackboneElementComponent results
                                                              Slice: Unordered, Open by pattern:code
                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                              • Element minimum cardinalities differ: '0' vs '1'
                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                0..*ExtensionAdditional content defined by implementations
                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                    .... code Σ1..1CodeableConceptType of component observation (code / type)
                                                                    Binding: ?? (example): Codes identifying names of simple observations.

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

                                                                      .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                        .... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

                                                                          .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                          0..*CodeableConceptHigh, low, normal, etc.
                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                                            .... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                            0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                              doco Documentation for this format