abstractbaseDefinitioncopyrightdatedescriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | QICore Laboratory Result Observation (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab) |
| Right: | QICore Laboratory Result Observation (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab) |
| Error | StructureDefinition.version | Values for version differ: '6.0.0' vs '7.0.0-ballot' |
| Information | StructureDefinition.definition | Values for definition differ: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.' |
| Information | StructureDefinition.comment | Values 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.' |
| Warning | Observation.meta | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: '(QI-Core)(USCDI) registered | prliminary | final | amended | corrected | entered-in-error | unknown' vs '(QI) registered | prliminary | final | amended | corrected | entered-in-error | unknown' |
| Information | StructureDefinition.short | Values for short differ: '(QI-Core)(USCDI) Classification of type of observation' vs '(QI) Classification of type of observation' |
| Information | StructureDefinition.short | Values for short differ: '(QI-Core)(USCDI) Laboratory Test Name' vs '(QI) Laboratory Test Name' |
| Information | StructureDefinition.short | Values for short differ: '(QI-Core)(USCDI) Who and/or what the observation is about' vs '(QI) Who and/or what the observation is about' |
| Information | StructureDefinition.short | Values for short differ: 'Healthcare event during which this observation is made' vs '(QI) Encounter associated with Observation' |
| Warning | Observation.encounter | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: '(QI-Core)(USCDI) Clinically relevant time/time-period for observation' vs '(QI) Clinically relevant time/time-period for observation' |
| Information | StructureDefinition.short | Values for short differ: '(QI-Core) Date/Time this version was made available' vs '(QI) Date/Time this version was made available' |
| Information | StructureDefinition.short | Values for short differ: '(QI-Core)(USCDI) Result Value' vs '(QI) Result Value' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Why the result is missing' vs 'Why the result is missing' |
| Information | StructureDefinition.short | Values for short differ: '(QI-Core) High, low, normal, etc.' vs '(QI) High, low, normal, etc.' |
| Warning | Observation.interpretation | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Specimen used for this observation' vs 'Specimen used for this observation' |
| Information | StructureDefinition.short | Values for short differ: 'Provides guide for interpretation' vs 'Result reference range' |
| Information | StructureDefinition.comment | Values for comment differ: 'Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.' vs 'Upper and lower limit of test values expected for a designated population of individuals. Reference range values may differ by patient characteristics, laboratory test manufacturer and laboratory test performer.' |
| Warning | Observation.referenceRange | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | ||
| copyright | |||
| date | 2022-05-31 | ||
| description | The QI-Core Laboratory Result Observation Profile is based upon the US Laboratory Result Observation Resource. Defines the core set of elements and extensions for quality rule and measure authors. | ||
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | QICoreLaboratoryResultObservation | ||
| publisher | HL7 International / Clinical Quality Information | ||
| purpose | |||
| status | active | ||
| title | QICore Laboratory Result Observation | ||
| type | Observation | ||
| url | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab | ||
| version | 6.0.0 | 7.0.0-ballot |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Observation | C | 0..* | USCoreLaboratoryResultObservationProfile | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present | C | 0..* | USCoreLaboratoryResultObservationProfile | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present | |||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
 meta | Σ | 0..1 | Meta | Metadata about the resource | SΣ | 0..1 | Meta | Metadata about the resource |
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 id | 0..1 | string | Unique id for inter-element referencing |
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 Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
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| versionId | Σ | 0..1 | id | Version specific identifier |
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| lastUpdated | SΣ | 0..1 | instant | When the resource last changed |
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| source | Σ | 0..1 | uri | Identifies where the resource comes from |
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| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
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| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
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| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
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| 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: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
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| 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 | Additional content defined by implementations | |||||||||||
 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 | ?!SΣ | 1..1 | code | (QI-Core)(USCDI) registered | prliminary | final | amended | corrected | entered-in-error | unknown Binding: ?? (required) | ?!SΣ | 1..1 | code | (QI) registered | prliminary | final | amended | corrected | entered-in-error | unknown Binding: ?? (required) | |||||||||
| Slices for category | S | 1..* | CodeableConcept | (QI-Core)(USCDI) Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ?? (preferred): Codes for high level observation categories. | S | 1..* | CodeableConcept | (QI) Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ?? (preferred): Codes for high level observation categories. | |||||||||
| code | SΣ | 1..1 | CodeableConcept | (QI-Core)(USCDI) Laboratory Test Name Binding: ?? (extensible): Laboratory LOINC Codes | SΣ | 1..1 | CodeableConcept | (QI) Laboratory Test Name Binding: ?? (extensible): Laboratory LOINC Codes | |||||||||
| subject | SΣ | 1..1 | Reference(QICore Patient) | (QI-Core)(USCDI) Who and/or what the observation is about | SΣ | 1..1 | Reference(QICore Patient) | (QI) 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 | SΣ | 0..1 | Reference(QICore Encounter) | (QI) Encounter associated with Observation |
| ||||||||
| effective[x] | SΣC | 0..1 | dateTime S, Period, Timing, instant | (QI-Core)(USCDI) Clinically relevant time/time-period for observation us-core-1: Datetime must be at least to day. | SΣC | 0..1 | dateTime S, Period, Timing, instant | (QI) Clinically relevant time/time-period for observation us-core-1: Datetime must be at least to day. | |||||||||
| issued | Σ | 0..1 | instant | (QI-Core) Date/Time this version was made available | Σ | 0..1 | instant | (QI) Date/Time this version was made available | |||||||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |||||||||
| value[x] | SΣC | 0..1 | Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, time, dateTime, Period | (QI-Core)(USCDI) Result Value us-core-3: SHALL use UCUM for coded quantity units. us-core-4: SHOULD use Snomed CT for coded Results | SΣC | 0..1 | Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | (QI) Result Value us-core-3: SHALL use UCUM for coded quantity units. us-core-4: SHOULD use Snomed CT for coded Results | |||||||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | (USCDI) Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | SC | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||
| interpretation | 0..* | CodeableConcept | (QI-Core) High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. | S | 0..* | CodeableConcept | (QI) High, low, normal, etc. Binding: ?? (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: ?? (example): Codes describing anatomical locations. May include laterality. | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. | |||||||||||
| method | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. | |||||||||||
| specimen | S | 0..1 | Reference(US Core Specimen Profile) | (USCDI) Specimen used for this observation | S | 0..1 | Reference(US Core Specimen Profile) | Specimen used for this observation | |||||||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||||||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | SC | 0..* | BackboneElement | Result reference range obs-3: Must have at least a low or a high or text us-core-22: SHALL use UCUM for coded quantity units. |
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| 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 | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant | |||||||||
| high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant | |||||||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. | |||||||||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. | 0..* | CodeableConcept | Reference range population Binding: ?? (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: ?? (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (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 | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. | 0..* | CodeableConcept | High, 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 | |||||||||||
| Documentation for this format | |||||||||||||||||