Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/ph-library/StructureDefinition/lib-copy-us-ph-disability-status

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:US Public Health Disability Status (http://hl7.org/fhir/us/ph-library/StructureDefinition/lib-copy-us-ph-disability-status)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/ph-library/StructureDefinition/lib-copy-us-ph-disability-status'
ErrorStructureDefinition.versionValues for version differ: '5.0.0' vs '0.0.1'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'USPublicHealthDisabilityStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'US Public Health Disability Status'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2022-06-09T01:12:10+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)'
WarningObservationElements differ in short: 'Measurements and simple assertions' vs 'US Public Health Disability Status'
WarningObservationElements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements differ in comments: '\-' 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.'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
WarningObservation.codeElements differ in short: 'Laboratory Test Name' vs 'Disability status'
WarningObservation.codeElements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: '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 description: 'LOINC codes' vs 'Disability Status'
WarningObservation.codeElements differ in description: 'LOINC codes' vs 'Disability Status'
ErrorObservation.codeUnable to resolve right value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.49 at Observation.code
WarningObservation.effective[x]Elements differ in definition: 'For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.' 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.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.value[x]Elements differ in short: 'Result Value' vs 'Actual result'
WarningObservation.value[x]Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] 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.'
InformationObservation.value[x]Element minimum cardinalities differ: '0' vs '1'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'

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'
      .date2022-04-202022-06-09T01:12:10+00:00
      • Values Differ
      .descriptionThe US Core Laboratory Result Observation Profile is based upon the core FHIR Observation Resource, and, along with the US Core DiagnosticReport Profile for Laboratory Results Reporting, meets the U.S. Core Data for Interoperability (USCDI) v2 ‘Laboratory’ requirements. Laboratory results are grouped and summarized using the DiagnosticReport resource which reference Observation resources. Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) which references other observations, or rarely a laboratory test with component result values. The US Core Laboratory Result Observation Profile sets minimum expectations for the Observation resource resource to record, search, and fetch laboratory test results associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific uses cases.This profile represents the Disability Element defined here: https://aspe.hhs.gov/basic-report/hhs-implementation-guidance-data-collection-standards-race-ethnicity-sex-primary-language-and-disability-status. The six item set of questions used on ACS and other major surveys to gauge disability is the data standard for survey questions on disability. Note the age thresholds for survey participants for the different disability questions. #### Data Standard for Disability Status 1. Are you deaf or do you have serious difficulty hearing? 2. Are you blind or do you have serious difficulty seeing, even when wearing glasses? 3. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? (5 years old or older) 4. Do you have serious difficulty walking or climbing stairs? (5 years old or older) 5. Do you have difficulty dressing or bathing? (5 years old or older) 6. Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping? (15 years old or older)
      • Values Differ
      .experimentalfalse
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreLaboratoryResultObservationProfileUSPublicHealthDisabilityStatus
                • Values Differ
                .publisherHL7 International - Cross-Group ProjectsHL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)
                • Values Differ
                .purpose
                  .statusactive
                    .titleUS Core Laboratory Result Observation ProfileUS Public Health Disability Status
                    • Values Differ
                    .typeObservation
                      .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://hl7.org/fhir/us/ph-library/StructureDefinition/lib-copy-us-ph-disability-status
                      • Values Differ
                      .version5.0.00.0.1
                      • Values Differ

                      Structure

                      NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                      .. Observation I0..*ObservationMeasurements and simple assertions
                      us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                      I0..*ObservationUS Public Health Disability Status
                      • Elements differ in short: 'Measurements and simple assertions' vs 'US Public Health Disability Status'
                      • Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                      • Elements differ in comments: '\-' 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.'
                      ... id Σ0..1stringLogical id of this artifactΣ0..1stringLogical 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: CommonLanguages (preferred): A human language.

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

                            Additional BindingsPurpose
                            AllLanguagesMax 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: ObservationStatus (required)
                                            ?!Σ1..1coderegistered | 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 S1..*CodeableConceptClassification of type of observation
                                            Slice: Unordered, Open by pattern:$this
                                            Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                            0..*CodeableConceptClassification of type of observation
                                            Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            ... code SΣ1..1CodeableConceptLaboratory Test Name
                                            Binding: LOINCCodes (extensible): LOINC codes

                                            SΣ1..1CodeableConceptDisability status
                                            Binding: VSAC 2.16.840.1.113762.1.4.1099.49 (required): Disability Status

                                            • Elements differ in short: 'Laboratory Test Name' vs 'Disability status'
                                            • Elements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation "name".'
                                            • Elements differ in comments: '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.'
                                            • Elements differ in description: 'LOINC codes' vs 'Disability Status'
                                            • Elements differ in description: 'LOINC codes' vs 'Disability Status'
                                            • Unable to resolve right value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.49 at Observation.code
                                            ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Public Health Patient)Who and/or what the observation is about
                                              ... 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] SΣI0..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 lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.' 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 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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                      ... value[x] SΣI0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
                                                      us-core-4: SHOULD use Snomed CT for coded Results
                                                      us-core-3: SHALL use UCUM for coded quantity units.
                                                      SΣI1..1booleanActual result
                                                      • Elements differ in short: 'Result Value' vs 'Actual result'
                                                      • Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] 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.'
                                                      • Element minimum cardinalities differ: '0' vs '1'
                                                      ... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
                                                      Binding: DataAbsentReason (extensible)
                                                      I0..1CodeableConceptWhy the result is missing
                                                      Binding: DataAbsentReason (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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


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


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

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

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

                                                            0..1CodeableConceptHow it was done
                                                            Binding: ObservationMethods (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 I0..*BackboneElementProvides guide for interpretation
                                                                  I0..*BackboneElementProvides guide for interpretation
                                                                    .... 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 I0..1SimpleQuantityLow Range, if relevantI0..1SimpleQuantityLow Range, if relevant
                                                                            .... high I0..1SimpleQuantityHigh Range, if relevantI0..1SimpleQuantityHigh Range, if relevant
                                                                              .... type 0..1CodeableConceptReference range qualifier
                                                                              Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                                              0..1CodeableConceptReference range qualifier
                                                                              Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                                                .... appliesTo 0..*CodeableConceptReference range population
                                                                                Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


                                                                                0..*CodeableConceptReference range population
                                                                                Binding: ObservationReferenceRangeAppliesToCodes (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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                          ... 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: LOINCCodes (example): Codes identifying names of simple observations.

                                                                                                  Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                  Binding: LOINCCodes (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 I0..1CodeableConceptWhy the component result is missing
                                                                                                      Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                      I0..1CodeableConceptWhy the component result is missing
                                                                                                      Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                        .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                                        Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


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


                                                                                                          .... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                          0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                            doco Documentation for this format