Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result vs http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationcancelled

Left:US Core Observation Clinical Result Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result)
Right:QICore Observation Cancelled (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationcancelled)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result' vs 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationcancelled'
ErrorStructureDefinition.versionValues for version differ: '7.0.0-ballot' vs '6.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationClinicalResultProfile' vs 'QICoreObservationCancelled'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Clinical Result Profile' vs 'QICore Observation Cancelled'
InformationStructureDefinition.dateValues for date differ: '2023-10-17' vs '2018-08-22'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Clinical Quality Information'
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'
InformationObservation.extensionElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: 'registered | preliminary | final | amended +' vs '(QI-Core) registered | preliminary | final | amended +'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Classification of type of observation' vs '(QI-Core) Classification of type of observation'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Clinical Test or Procedure Name' vs '(QI-Core) Type of observation (code / type)'
InformationStructureDefinition.definitionValues for definition differ: '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'.'
InformationStructureDefinition.commentValues for comment differ: '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 definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Who and/or what the observation is about' vs '(QI-Core) Who and/or what the observation is about'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Encounter associated with Observation' vs 'Healthcare event during which this observation is made'
WarningObservation.encounterElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Date/Time this version was made available' vs '(QI-Core) Date/Time this version was made available'
InformationObservation.issuedElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: 'Result Value' vs '(QI-Core) Actual result'
InformationStructureDefinition.definitionValues for definition differ: 'The clinical test or procedure result value. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org). A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) 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 definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'High, low, normal, etc.' vs '(QI-Core) High, low, normal, etc.'
ErrorObservation.derivedFromType Mismatch: 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]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-questionnaireresponse], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
      • Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
      .date2023-10-172018-08-22
      • Values Differ
      .descriptionThe US Core Observation Clinical Result Profile is based upon the core FHIR Observation Resource and, along with the US Core DiagnosticReport Profile, meets the US Core Data for Interoperability (USCDI) requirements for *Diagnostic Imaging* and *Clinical Tests* Data Classes. This profile sets minimum expectations for the Observation resource to record and search non-laboratory clinical test results (e.g., radiology and other clinical observations generated from procedures). An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy. This profile is the basis for the US Core Laboratory Result Observation Profile, which defines additional data elements to record and search laboratory test results. The US Core Observation Clinical Result Profile sets minimum expectations 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.Profile of ObservationCancelled for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
      • Values Differ
      .experimentalfalse
      • Added the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreObservationClinicalResultProfileQICoreObservationCancelled
              • Values Differ
              .publisherHL7 International / Cross-Group ProjectsHL7 International / Clinical Quality Information
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Observation Clinical Result ProfileQICore Observation Cancelled
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-resulthttp://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observationcancelled
                    • Values Differ
                    .version7.0.0-ballot6.0.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Observation C0..*ObservationMeasurements 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
                    C0..*ObservationMeasurements 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
                    ond-1: to indicate what observation was not recorded, either at least one coding in the code or a notDoneValueSet extension shall be provided
                      ... 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
                                  1..*ExtensionExtension
                                  Slice: Unordered, Open by value:url
                                  • Element minimum cardinalities differ: '0' vs '1'
                                  ... 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.

                                          ?!Σ1..1code(QI-Core) registered | preliminary | final | amended +
                                          Binding: ?? (required): Codes providing the status of an observation.


                                          Fixed Value: cancelled
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... Slices for category S1..*CodeableConceptClassification of type of observation
                                          Slice: Unordered, Open by pattern:$this
                                          Binding: ?? (preferred): Codes for high level observation categories.


                                          1..*CodeableConcept(QI-Core) Classification of type of observation
                                          Binding: ?? (preferred): Codes for high level observation categories.


                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... code SΣ1..1CodeableConceptClinical Test or Procedure Name
                                          Binding: ?? (extensible)
                                          Σ1..1CodeableConcept(QI-Core) Type of observation (code / type)
                                          Binding: ?? (example): Codes identifying names of simple observations.

                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          .... id 0..1stringUnique id for inter-element referencing
                                          • Added this element
                                          .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                          Slice: Unordered, Open by value:url
                                          • Added this element
                                          .... coding Σ0..*CodingCode defined by a terminology system
                                          • Added this element
                                          .... text Σ0..1stringPlain text representation of the concept
                                          • Added this element
                                          ... subject SΣ1..1Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)Who and/or what the observation is aboutΣ1..1Reference(QICore Patient)(QI-Core) Who and/or what the observation is about
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... 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 SΣ0..1Reference(US Core Encounter Profile)Encounter associated with ObservationΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            ... effective[x] SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                            us-core-1: Datetime must be at least to day.
                                            Σ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            ... issued Σ0..1instantDate/Time this version was made availableΣ1..1instant(QI-Core) Date/Time this version was made available
                                            • Element minimum cardinalities differ: '0' vs '1'
                                            ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                            Σ0..*Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore RelatedPerson)Who is responsible for the observation
                                              ... value[x] SΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
                                              us-core-3: SHALL use UCUM for coded quantity units.
                                              ΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period(QI-Core) Actual result
                                              Slice: Unordered, Open by type:$this
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                              Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                              Binding: ?? (extensible): Codes identifying interpretations of observations.


                                              0..*CodeableConcept(QI-Core) High, low, normal, etc.
                                              Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                ... note 0..*AnnotationComments about the observation
                                                0..*AnnotationComments about the observation
                                                  ... bodySite 0..1CodeableConceptObserved body part
                                                  Binding: ?? (example): Codes describing anatomical locations. May include laterality.

                                                  0..1CodeableConceptObserved body part
                                                  Binding: ?? (example): Codes describing anatomical locations. May include laterality.

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

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

                                                      ... specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                        ... 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..*BackboneElementProvides guide for interpretation
                                                          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)Related resource that belongs to the Observation group
                                                                                ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                Σ0..*Reference(QICore Simple Observation | QICore QuestionnaireResponse | US Core DocumentReference Profile | ImagingStudy | Media | MolecularSequence)Related measurements the observation is made from
                                                                                • Type Mismatch: 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]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-questionnaireresponse], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                                                ... component Σ0..*BackboneElementComponent results
                                                                                Σ0..*BackboneElementComponent results
                                                                                  .... 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