us-core-observation-screening-assessments vs WoundUnderminingLength

A set of rules under which this content was created

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

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..*

Additional content defined by implementations

0..*

Additional content defined by implementations

modifierExtension

0..*

Extensions that cannot be ignored

0..*

Extensions that cannot be ignored

identifier

0..*

Identifier

Business Identifier for observation

0..*

Identifier

Business Identifier for observation

basedOn

0..*

Fulfills plan, proposal or order

0..*

Fulfills plan, proposal or order

partOf

0..*

Part of referenced event

0..*

Part of referenced event

status

?!SΣ

1..1

registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

?!Σ

1..1

registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

Elements differ in definition for mustSupport: 'true' vs 'false'

Slices for category

1..*

Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

0..*

Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Elements differ in requirements: 'To identify that observation is derived from a questionnaire.' vs 'Used for filtering what observations are retrieved and displayed.'
Elements differ in definition for mustSupport: 'true' vs 'false'
Element minimum cardinalities differ: '1' vs '0'

code

SΣ

1..1

Type of observation (code / type)
Binding: US Core Survey Codes (preferred)

1..1

Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

Elements differ in definition for mustSupport: 'true' vs 'false'
Example/preferred bindings differ at Observation.code using binding from USCoreObservationScreeningAssessmentsProfile

0..1

Unique id for inter-element referencing

0..1

Unique id for inter-element referencing

Slices for extension

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..*

Coding

Code defined by a terminology system

0..1

Unique id for inter-element referencing

0..1

Unique id for inter-element referencing

Slices for extension

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

Identity of the terminology system

0..1

Identity of the terminology system
Fixed Value: http://loinc.org

version

0..1

Version of the system - if relevant

0..1

Version of the system - if relevant

code

0..1

Symbol in syntax defined by the system

0..1

Symbol in syntax defined by the system
Fixed Value: 72293-4

display

0..1

Representation defined by the system

0..1

Representation defined by the system
Fixed Value: Undermining [Length] of Wound

userSelected

0..1

boolean

If this coding was chosen directly by the user

0..1

boolean

If this coding was chosen directly by the user

text

0..1

Plain text representation of the concept

0..1

Reference(US Core Patient Profile)

Plain text representation of the concept

subject

SΣ

1..1

Who and/or what the observation is about

0..1

Reference(Patient | Group | Device | Location)

Who and/or what the observation is about

Elements differ in definition for mustSupport: 'true' vs 'false'
Element minimum cardinalities differ: '1' vs '0'

focus

0..*

Reference(Resource)

What the observation is about, when it is not about the subject of record

0..*

Reference(Resource)

What the observation is about, when it is not about the subject of record

encounter

0..1

Reference(Encounter)

Healthcare event during which this observation is made

0..1

Reference(Encounter)

Healthcare event during which this observation is made

effective[x]

SΣC

0..1

dateTime S, Period, Timing, instant

Clinically relevant time/time-period for observation
us-core-1: Datetime must be at least to day.

0..1

dateTime, Period, Timing, instant

Clinically relevant time/time-period for observation

Elements differ in definition: '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.'
Elements differ in comments: '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] datatype which allow the measurement to be tied to regular life events.'
Elements differ in definition for mustSupport: 'true' vs 'false'

issued

0..1

instant

Date/Time this version was made available

0..1

instant

Date/Time this version was made available

performer

SΣ

0..*

Who is responsible for the observation

0..*

Who is responsible for the observation

Elements differ in definition for mustSupport: 'true' vs 'false'

value[x]

SΣC

0..1

Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period

Actual result

ΣC

0..1

Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period

Actual result
Slice: Unordered, Open by type:$this

Elements differ in comments: 'An observation may have a value if it represents an individual survey, screening, or assessment question and answer pair. An observation should not have a value if it represents a multi-question or multi-select “check all that apply” responses. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.' vs 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section] below.'
Elements differ in definition for mustSupport: 'true' vs 'false'

dataAbsentReason

0..1

Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

0..1

Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

Elements differ in comments: '"Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.' vs 'Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.'
Elements differ in definition for mustSupport: 'true' vs 'false'

interpretation

0..*

High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.

0..*

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

Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

0..1

Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

method

0..1

How it was done
Binding: ObservationMethods (example): Methods for simple observations.

0..1

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

0..*

Provides guide for interpretation

0..*

Provides guide for interpretation

0..1

Unique id for inter-element referencing

0..1

Unique id for inter-element referencing

extension

0..*

Additional content defined by implementations

0..*

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

low

0..1

Low Range, if relevant

0..1

Low Range, if relevant

high

0..1

High Range, if relevant

0..1

High Range, if relevant

type

0..1

Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

0..1

Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

appliesTo

0..*

Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

0..*

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

Text based reference range in an observation

0..1

Text based reference range in an observation

hasMember

SΣ

0..*

Reference(US Core Observation Screening Assessments Profile S | http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse | MolecularSequence)

Reference to panel or multi-select responses

0..*

Reference(Observation | QuestionnaireResponse | MolecularSequence)

Related resource that belongs to the Observation group

Elements differ in short: 'Reference to panel or multi-select responses' vs 'Related resource that belongs to the Observation group'
Elements differ in definition: 'Aggregate set of Observations that represent question answer pairs for both multi-question surveys, screenings, and assessments and multi-select questions.' vs 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.'
Elements differ in comments: 'This grouping element is used to represent surveys, screenings, and assessments that group several questions together or individual questions with “check all that apply” responses. For example in the simplest case a flat multi-question survey where the "panel" observation is the survey instrument itself and instead of an `Observation.value` the `hasMember` element references other Observation that represent the individual questions answer pairs. When there is a heirarchical grouping of questions, the observation "panels" can be nested. Because surveys, screenings, and assessments can be arbitrarily complex structurally, not all structures can be represented using this Observation grouping pattern.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes] below. Note that a system may calculate results from [QuestionnaireResponse] into a final score and represent the score as an Observation.'
Elements differ in definition for mustSupport: 'true' vs 'false'

derivedFrom

SΣ

0..*

Related Observations or QuestionnaireResponses that the observation is made from

0..*

Related measurements the observation is made from

Elements differ in short: 'Related Observations or QuestionnaireResponses that the observation is made from' vs 'Related measurements the observation is made from'
Elements differ in definition: 'Observations or QuestionnaireResponses from which this observation value is derived.' vs '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.'
Elements differ in definition for mustSupport: 'true' vs 'false'
Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessments], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-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]]) vs 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]])

component

0..*

Component results

0..*