## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history-assessment vs http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationnotdone

Left: | US Core Social History Assessment Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history-assessment)
Right: | QICoreObservationNotDone (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationnotdone)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history-assessment' vs 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationnotdone'
Information | StructureDefinition.name | Values for name differ: 'USCoreObservationSocialHistoryAssessment' vs 'QICoreObservationNotDone'
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft'
Information | StructureDefinition.date | Values for date differ: '2021-11-12' vs '2018-08-22'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'http://www.hl7.org/Special/committees/cqi/index.cfm'
Warning | StructureDefinition.abstract | Values for abstract differ: 'true' vs 'false'
Warning | Observation | Elements differ in short: 'assessment observation' vs 'Measurements and simple assertions'
Warning | Observation | Elements differ in definition: 'Simple observations made by an individual about a patient's social history.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
Warning | Observation.extension | Elements differ in short: 'Additional content defined by implementations' vs 'Extension'
Warning | Observation.extension | Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Warning | Observation.encounter | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Observation.issued | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | Observation.issued | Element minimum cardinalities differ: '0' vs '1'
Warning | Observation.performer | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Observation.value[x] | Elements differ in definition for mustSupport: 'true' vs 'false'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | true | false | Values Differ
baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation |
copyright | Used 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'
date | 2021-11-12 | 2018-08-22 | Values Differ
description | Profile for simple observations made by an individual about a patient's social history status such as education, food insecurity, etc. These observation involve assessment by a provider, payer, etc. as opposed to being derived only from screening surveys which should be represented using the [US Core Screening Response Observation Profile](StructureDefinition-us-core-observation-screening-response.html) | Profile of ObservationNotDone for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. | Values Differ
experimental |  | false | Added the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreObservationSocialHistoryAssessment | QICoreObservationNotDone | Values Differ
publisher | HL7 International - Cross-Group Projects | http://www.hl7.org/Special/committees/cqi/index.cfm | Values Differ
purpose |  |
status | active | draft | Values Differ
title | US Core Social History Assessment Observation Profile |  | Removed the item 'US Core Social History Assessment Observation Profile'
type | Observation |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history-assessment | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationnotdone | Values Differ
version | 4.1.0 |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Observation | I | 0..* | Observation | This is an abstract profile assessment observation | I | 0..* | Observation | Measurements and simple assertions ond-1: to indicate what observation was not recorded, either at least one coding in the code or a notDoneValueSet extension shall be provided | Elements differ in short: 'assessment observation' vs 'Measurements and simple assertions' Elements differ in definition: 'Simple observations made by an individual about a patient's social history.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | string | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. |
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url | Elements differ in short: 'Additional content defined by implementations' vs 'Extension' Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation |
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: cancelled |
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | S | 1..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (preferred) | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
coding | Σ | 0..* | Coding | Code defined by a terminology system | Σ | 0..* | Coding | Code defined by a terminology system |
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | S Σ | 1..1 | Reference(QICorePatient | QICoreDevice | QICoreLocation) | Who and/or what the observation is about |
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | S Σ | 0..1 | Reference(QICoreEncounter) | Healthcare event during which this observation is made | Elements differ in definition for mustSupport: 'false' vs 'true'
effective[x] | Σ | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation | Σ | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
issued | Σ | 0..1 | instant | Date/Time this version was made available | S Σ | 1..1 | instant | Date/Time this version was made available | Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
performer | S Σ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core Related Person) | Who is responsible for the observation | Σ | 0..* | Reference(QICorePractitioner | QICoreOrganization | QICorePatient | QICoreRelatedPerson) | Who is responsible for the observation | Elements differ in definition for mustSupport: 'true' vs 'false'
value[x] | S Σ I | 0..1 | Quantity S, CodeableConcept S, string S, boolean S, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result | Σ I | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result | Elements differ in definition for mustSupport: 'true' vs 'false'
dataAbsentReason | I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
note |  | 0..* | Annotation | Comments about the observation |  | 0..* | Annotation | Comments about the observation |
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. |
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation |  | 0..1 | Reference(Specimen) | Specimen used for this observation |
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | I | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | I | 0..1 | SimpleQuantity | Low Range, if relevant | I | 0..1 | SimpleQuantity | Low Range, if relevant |
high | I | 0..1 | SimpleQuantity | High Range, if relevant | I | 0..1 | SimpleQuantity | High Range, if relevant |
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. |
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. |
age |  | 0..1 | Range | Applicable age range, if relevant |  | 0..1 | Range | Applicable age range, if relevant |
text |  | 0..1 | string | Text based reference range in an observation |  | 0..1 | string | Text based reference range in an observation |
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | Σ | 0..* | BackboneElement | Component results | Σ | 0..* | BackboneElement | Component results |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result |
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (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 |
Documentation for this format