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-pregnancy-outcome-observation

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:US Public Health Pregnancy Outcome Observation (http://hl7.org/fhir/us/ph-library/StructureDefinition/lib-copy-us-ph-pregnancy-outcome-observation)

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-pregnancy-outcome-observation'
ErrorStructureDefinition.versionValues for version differ: '5.0.0' vs '0.0.1'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'USPublicHealthPregnancyOutcomeObservation'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'US Public Health Pregnancy Outcome Observation'
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 Pregnancy Outcome Observation'
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 'Type of observation (code / type)'
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 binding.description: 'LOINC codes' vs 'Codes identifying names of simple observations.'
WarningObservation.focusElements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'The related Pregnancy Status Observation'
WarningObservation.focusElements differ in definition: 'The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.' vs 'The focus is the related Pregnancy Status Observation.'
WarningObservation.focusElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.focusElement minimum cardinalities differ: '0' vs '1'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '1'
WarningObservation.effective[x]Elements differ in short: 'Clinically relevant time/time-period for observation' vs 'Pregnancy outcome date.'
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 'Date on which the pregnancy outcome occurred (for a live birth this is the delivery date).'
WarningObservation.value[x]Elements differ in short: 'Result Value' vs 'Pregnancy outcome'
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'
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'

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 a result of the pregnancy such as live birth, still birth, miscarriage, etc. The subject of this profile is the mother. The focus of this profile is the related Pregnancy Status Observation. The order born in the delivery, live born or fetal death (1st, 2nd, 3rd, 4th, 5th, 6th, 7th, etc.) is contained in Observation.component. All live births and fetal losses are included. If the pregnancy plurality is 1 then this value will also be 1. There will be one Pregnancy Outcome Observation for each fetus delivered live or dead at any time in the pregnancy, regardless of gestational age or if the fetuses were delivered at different dates in the pregnancy. All live births and fetal losses are included. The order born in the delivery, live born or fetal death is contained in Observation.component.
      • Values Differ
      .experimentalfalse
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreLaboratoryResultObservationProfileUSPublicHealthPregnancyOutcomeObservation
                • 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 Pregnancy Outcome Observation
                    • 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-pregnancy-outcome-observation
                      • 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 Pregnancy Outcome Observation
                      • Elements differ in short: 'Measurements and simple assertions' vs 'US Public Health Pregnancy Outcome Observation'
                      • 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..1CodeableConceptType of observation (code / type)
                                            Binding: LOINCCodes (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"63893-2","display":"Outcome of pregnancy"}]}
                                            • Elements differ in short: 'Laboratory Test Name' vs 'Type of observation (code / type)'
                                            • 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 binding.description: 'LOINC codes' vs 'Codes identifying names of simple observations.'
                                            ... 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
                                              SΣ1..1Reference(US Public Health Pregnancy Status Observation)The related Pregnancy Status Observation
                                              • Elements differ in short: 'What the observation is about, when it is not about the subject of record' vs 'The related Pregnancy Status Observation'
                                              • Elements differ in definition: 'The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.' vs 'The focus is the related Pregnancy Status Observation.'
                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                              • Element minimum cardinalities differ: '0' vs '1'
                                              • Element maximum cardinalities differ: '2147483647' vs '1'
                                              ... 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.
                                                SΣ0..1dateTimePregnancy outcome date.
                                                • Elements differ in short: 'Clinically relevant time/time-period for observation' vs 'Pregnancy outcome date.'
                                                • 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 'Date on which the pregnancy outcome occurred (for a live birth this is the delivery date).'
                                                ... 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..1CodeableConceptPregnancy outcome
                                                    Binding: Pregnancy Outcome (extensible): Pregnancy Outcome

                                                    • Elements differ in short: 'Result Value' vs 'Pregnancy outcome'
                                                    • 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
                                                                                        SΣ0..*BackboneElementComponent results
                                                                                        Slice: Unordered, Open by value:code
                                                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                        .... 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