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

Left:US Core Observation Social History Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history)
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-social-history' 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: 'USCoreObservationSocialHistoryProfile' vs 'USPublicHealthDisabilityStatus'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Social History 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: 'assessment observation' 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: 'Type of observation (code / type)' vs 'Disability status'
WarningObservation.effective[x]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.'
WarningObservation.effective[x]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.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.performerElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.value[x]Element minimum cardinalities differ: '0' vs '1'

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 Observation Social History Profile meets the U.S. Core Data for Interoperability (USCDI) v2 ‘SDOH Assessments’ requirements. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch retrieve observations that represent simple observations made by an individual about a patient's social history status such as education, food insecurity, etc. 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
      • Added the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreObservationSocialHistoryProfileUSPublicHealthDisabilityStatus
              • 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 Observation Social History ProfileUS Public Health Disability Status
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-historyhttp://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..*Observationassessment observation
                    I0..*ObservationUS Public Health Disability Status
                    • Elements differ in short: 'assessment observation' 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): Codes providing the status of an observation.

                                          ?!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..1CodeableConceptType of observation (code / type)
                                          Binding: LOINCCodes (preferred)
                                          SΣ1..1CodeableConceptDisability status
                                          Binding: VSAC 2.16.840.1.113762.1.4.1099.49 (required): Disability Status

                                          • Elements differ in short: 'Type of observation (code / type)' vs 'Disability status'
                                          ... 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: '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 Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                  ... performer SΣ0..*Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                  Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                  ... value[x] SΣI0..1Quantity S, CodeableConcept S, string S, boolean S, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultSΣI1..1booleanActual result
                                                  • Element minimum cardinalities differ: '0' vs '1'
                                                  ... dataAbsentReason I0..1CodeableConceptWhy the result is missing
                                                  Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                  I0..1CodeableConceptWhy the 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.


                                                      ... 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