Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference vs http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-nonpatient-observation

Left:US Core Treatment Intervention Preference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference)
Right:QICore NonPatient Observation (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-nonpatient-observation)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference' vs 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-nonpatient-observation'
ErrorStructureDefinition.versionValues for version differ: '7.0.0-ballot' vs '6.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreTreatmentInterventionPreferenceProfile' vs 'QICoreNonPatientObservation'
InformationStructureDefinition.titleValues for title differ: 'US Core Treatment Intervention Preference Profile' vs 'QICore NonPatient Observation'
InformationStructureDefinition.dateValues for date differ: '2023-11-02' vs '2018-08-22'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Clinical Quality Information'
InformationStructureDefinition.shortValues for short differ: 'US Core Treatment Intervention Preference Profile' vs 'Measurements and simple assertions'
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: 'registered | preliminary | final | amended +' vs '(QI-Core) registered | prliminary | final | amended | corrected | entered-in-error | unknown'
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'
InformationObservation.categoryElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: 'Treatment intervention preferences code' vs '(QI-Core) Type of observation (code / type)'
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) The device/location/implantable device the observation is about'
InformationStructureDefinition.definitionValues for definition differ: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'The device/location/implantable device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.'
InformationStructureDefinition.commentValues for comment differ: 'One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.' vs 'One would expect this element to be a cardinality of 1..1.'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
ErrorObservation.subjectType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device]])
InformationStructureDefinition.shortValues for short differ: 'Clinically relevant time/time-period for observation' vs '(QI-Core) Clinically relevant time/time-period for observation'
InformationStructureDefinition.definitionValues for definition differ: 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.'
InformationStructureDefinition.commentValues for comment differ: 'At least a date should be present unless this observation is a historical report.' vs 'At least a date should be present unless this observation is a historical report. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Who is responsible for the observation' vs '(QI-Core) Who is responsible for the observation'
InformationStructureDefinition.shortValues for short differ: 'Actual result' vs '(QI-Core) Actual result'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'High, low, normal, etc.' vs '(QI-Core) High, low, normal, etc.'
InformationStructureDefinition.shortValues for short differ: 'Related measurements the observation is made from' vs '(QI-Core) QI Core Profiles or other resource the observation is made from'
InformationStructureDefinition.definitionValues for definition differ: 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.' vs 'Observations, DocumentReference, QuestionnaireResponse or other resource from which this observation value is derived.'
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/qicore/StructureDefinition/qicore-imagingstudy], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], 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'
      .date2023-11-022018-08-22
      • Values Differ
      .descriptionThis profile represents personal health goals, preferences, and priorities for medical treatments or interventions in the event of a future health scenario where a person is unable to make medical decisions because of a serious illness or injury. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch for a patient's treatment intervention preferences. This profile identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.Profile of NonPatient Observation for decision support/quality metrics evaluating resource use and availability rather than focusing on patients. Defines the core set of elements and extensions for quality rule and measure authors.
      • Values Differ
      .experimentalfalse
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreTreatmentInterventionPreferenceProfileQICoreNonPatientObservation
                • Values Differ
                .publisherHL7 International / Cross-Group ProjectsHL7 International / Clinical Quality Information
                • Values Differ
                .purpose
                  .statusactive
                    .titleUS Core Treatment Intervention Preference ProfileQICore NonPatient Observation
                    • Values Differ
                    .typeObservation
                      .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preferencehttp://hl7.org/fhir/us/qicore/StructureDefinition/qicore-nonpatient-observation
                      • 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..*ObservationUS Core Treatment Intervention Preference Profile
                      obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                      obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                      C0..*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
                        ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                          ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                            ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                              ... language 0..1codeLanguage of the resource content
                              Binding: ?? (preferred): A human language.

                              Additional BindingsPurpose
                              ??Max Binding
                              0..1codeLanguage of the resource content
                              Binding: ?? (preferred): A human language.

                              Additional BindingsPurpose
                              ??Max Binding
                                ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                  ... contained 0..*ResourceContained, inline Resources
                                  0..*ResourceContained, inline Resources
                                    ... extension 0..*ExtensionAdditional content defined by implementations
                                    0..*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..*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 | prliminary | final | amended | corrected | entered-in-error | unknown
                                              Binding: ?? (required)
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... Slices for category S0..*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'
                                              • Element minimum cardinalities differ: '0' vs '1'
                                              ... code SΣ1..1CodeableConceptTreatment intervention preferences code
                                              Binding: ?? (example): Codes identifying names of simple observations.


                                              Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/us-core-category","code":"treatment-intervention-preference"}]}
                                              Σ1..1CodeableConcept(QI-Core) Type of observation (code / type)
                                              Binding: ?? (preferred): This value set specifies the type of observation

                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutΣ1..1Reference(QICore Device | QICore Location | US Core Implantable Device Profile)(QI-Core) The device/location/implantable device the observation is about
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device]])
                                              ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                              Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                  ... effective[x] SΣ0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observationΣ0..1dateTime, Period, Timing, instant(QI-Core) Clinically relevant time/time-period for observation
                                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                  ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                    ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                    Σ0..*Reference(QICore Practitioner | QICore Organization | QICore Patient | QICore PractitionerRole | QICore CareTeam | QICore RelatedPerson)(QI-Core) Who is responsible for the observation
                                                      ... value[x] SΣC0..1string S, CodeableConcept S, Quantity, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultΣC0..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 C0..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.

                                                        ... 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 | QICore ImagingStudy | US Core DocumentReference Profile | Media | MolecularSequence)(QI-Core) QI Core Profiles or other resource 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/qicore/StructureDefinition/qicore-imagingstudy], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], 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