Profile Comparison between http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report vs http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report

Left:Genomic Report (http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report)
Right:Genomic Report (http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report)

Messages

ErrorStructureDefinition.versionValues for version differ: '3.0.0' vs '4.0.0-ballot'
InformationStructureDefinition.dateValues for date differ: '2024-12-12T20:43:36+00:00' vs '2025-10-16T23:38:27+00:00'
WarningStructureDefinition.fhirVersionValues for fhirVersion differ: '4.0.1' vs '6.0.0-ballot3'
InformationStructureDefinition.definitionValues for definition differ: 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.' vs 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances.'
InformationStructureDefinition.commentValues for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' vs 'Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.'
InformationStructureDefinition.commentValues for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.'
InformationStructureDefinition.commentValues for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.' vs 'Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
InformationStructureDefinition.definitionValues for definition differ: 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.' vs 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.'
InformationStructureDefinition.commentValues for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](http://build.fhir.org/resource.html#additional).'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'registered | partial | preliminary | final +' vs 'registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown'
InformationDiagnosticReport.codeExample/preferred bindings differ at DiagnosticReport.code using binding from GenomicReport
InformationStructureDefinition.shortValues for short differ: 'Health care event when test ordered' vs 'Encounter associated with the DiagnosticReport'
InformationStructureDefinition.definitionValues for definition differ: 'The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.' vs 'The encounter (e.g. a patient and healthcare provider interaction) that is associated with the DiagnosticReport.'
InformationStructureDefinition.commentValues for comment differ: 'This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).' vs 'This will typically be the encounter, when it exists, during which the data or specimens (e.g. imaging, blood draw, or assessment procedure) that are being reported by the DiagnosticReport were obtained/acquired. When a DiagnosticReport is based on a ServiceRequest (order), the ServiceRequest.encounter referenced in DiagnosticReport.basedOn may be used to associate the two.'
InformationStructureDefinition.shortValues for short differ: 'Clinically relevant time/time-period for report' vs 'Clinically relevant time/time-period for the results that are included in the report'
InformationStructureDefinition.commentValues for comment differ: 'This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.' vs 'This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report. In the regulated context of diagnostic laboratory work on humans, it is extremely likely that regulation requires a human performer. Point of care testing, veterinary testing, drug screens, and environmental surveillance are common cases where the device is the performer with no additional human interaction or direct oversight.'
InformationStructureDefinition.definitionValues for definition differ: '[Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report.' vs '[Observations](http://build.fhir.org/observation.html) that are part of this diagnostic report.'
InformationStructureDefinition.shortValues for short differ: 'Key images associated with this report' vs 'Key images or data associated with this report'
InformationStructureDefinition.definitionValues for definition differ: 'A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).' vs 'A list of key images or data associated with this report. The images or data are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Many diagnostic services include images in the report as part of their service.' vs 'Many diagnostic services include images or data in the report as part of their service.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Comment about the image (e.g. explanation)' vs 'Comment about the image or data (e.g. explanation)'
InformationStructureDefinition.definitionValues for definition differ: 'A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.' vs 'A comment about the image or data. Typically, this is used to provide an explanation for why the image or data is included, or to draw the viewer's attention to important features.'
InformationStructureDefinition.commentValues for comment differ: 'The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.' vs 'The comment should be displayed with the image or data. It would be common for the report to include additional discussion of the image or data contents or in other sections such as the conclusion.'
InformationStructureDefinition.requirementsValues for requirements differ: 'The provider of the report should make a comment about each image included in the report.' vs 'The provider of the report should make a comment about each image or data included in the report.'
InformationStructureDefinition.shortValues for short differ: 'Reference to the image source' vs 'Reference to the image or data source'
InformationStructureDefinition.definitionValues for definition differ: 'Reference to the image source.' vs 'Reference to the image or data source.'
ErrorDiagnosticReport.media.linkType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Media]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|6.0.0-ballot3]])
InformationStructureDefinition.definitionValues for definition differ: 'One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.' vs 'One or more codes and/or references that represent the summary conclusion (interpretation/impression) of the diagnostic report.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DiagnosticReport
      .copyright
        .date2024-12-12T20:43:36+00:002025-10-16T23:38:27+00:00
        • Values Differ
        .descriptionGenomic profile of DiagnosticReport.
          .experimental
            .fhirVersion4.0.16.0.0-ballot3
            • Values Differ
            .jurisdiction
              ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
                .kindresource
                  .nameGenomicReport
                    .publisherHL7 International / Clinical Genomics
                      .purpose
                        .statusactive
                          .titleGenomic Report
                            .typeDiagnosticReport
                              .urlhttp://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report
                                .version3.0.04.0.0-ballot
                                • Values Differ

                                Structure

                                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                .. DiagnosticReport 0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                                C0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                                  ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                    ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                      ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                        ... language 0..1codeLanguage of the resource content
                                        Binding: ?? (preferred): A human language.
                                        Additional BindingsPurpose
                                        ??Max Binding
                                        0..1codeLanguage of the resource content
                                        Binding: ?? (required): IETF language tag for a human language
                                        Additional BindingsPurpose
                                        ??Starter
                                          ... text 0..1NarrativeText summary of the resource, for human interpretation
                                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                          0..1NarrativeText summary of the resource, for human interpretation
                                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                            ... contained 0..*ResourceContained, inline Resources
                                            0..*ResourceContained, inline Resources
                                              ... Slices for extension 0..*ExtensionExtension
                                              Slice: Unordered, Open by value:url
                                              0..*ExtensionExtension
                                              Slice: Unordered, Open by value:url
                                                ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                ?!Σ0..*ExtensionExtensions that cannot be ignored
                                                  ... identifier Σ0..*IdentifierBusiness identifier for report
                                                  Σ0..*IdentifierBusiness identifier for report
                                                    ... basedOn 0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
                                                    0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
                                                      ... status ?!Σ1..1coderegistered | partial | preliminary | final +
                                                      Binding: ?? (required): The status of the diagnostic report.
                                                      ?!Σ1..1coderegistered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
                                                      Binding: ?? (required): The status of the diagnostic report.
                                                        ... Slices for category Σ1..*CodeableConceptService category
                                                        Slice: Unordered, Open by value:coding
                                                        Binding: ?? (example): Codes for diagnostic service sections.
                                                        Σ1..*CodeableConceptService category
                                                        Slice: Unordered, Open by value:coding
                                                        Binding: ?? (example): HL7 V2 table 0074
                                                          ... code Σ1..1CodeableConceptName/Code for this diagnostic report
                                                          Binding: ?? (preferred): Codes that describe Diagnostic Reports.
                                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"51969-4"}]}
                                                          Σ1..1CodeableConceptName/Code for this diagnostic report
                                                          Binding: ?? (preferred): LOINC Codes for Diagnostic Reports
                                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"51969-4"}]}
                                                          • Example/preferred bindings differ at DiagnosticReport.code using binding from GenomicReport
                                                          ... subject Σ0..1Reference(Patient | Group | Device | Location)The subject of the report - usually, but not always, the patientΣ0..1Reference(Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct)The subject of the report - usually, but not always, the patient
                                                            ... encounter Σ0..1Reference(Encounter)Health care event when test orderedΣ0..1Reference(Encounter)Encounter associated with the DiagnosticReport
                                                              ... effective[x] Σ0..1dateTimeClinically relevant time/time-period for reportΣ0..1dateTimeClinically relevant time/time-period for the results that are included in the report
                                                                ... issued Σ0..1instantDateTime this version was madeΣ0..1instantDateTime this version was made
                                                                  ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Responsible Diagnostic Service
                                                                  Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device)Responsible Diagnostic Service
                                                                    ... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                                                    Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                                                      ... specimen 0..*Reference(Specimen)Specimens this report is based on
                                                                      0..*Reference(Specimen)Specimens this report is based on
                                                                        ... Slices for result 0..*Reference(Observation)Observations
                                                                        Slice: Unordered, Open by profile:resolve()
                                                                        C0..*Reference(Observation)Observations
                                                                        Slice: Unordered, Open by profile:resolve()
                                                                          ... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
                                                                          • Removed this element
                                                                          ... media Σ0..*BackboneElementKey images associated with this report
                                                                          Σ0..*BackboneElementKey images or data associated with this report
                                                                            .... 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
                                                                                  .... comment 0..1stringComment about the image (e.g. explanation)0..1stringComment about the image or data (e.g. explanation)
                                                                                    .... link Σ1..1Reference(Media)Reference to the image sourceΣ1..1Reference(DocumentReference)Reference to the image or data source
                                                                                    • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Media]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|6.0.0-ballot3]])
                                                                                    ... conclusion 0..1stringAssessment of overall results0..1markdownAssessment of overall results
                                                                                      ... conclusionCode 0..*CodeableConceptCoarse overall interpretation of the genomic results
                                                                                      Binding: ?? (example): Diagnosis codes provided as adjuncts to the report.
                                                                                      0..*CodeableReference(Observation | Condition)Coarse overall interpretation of the genomic results
                                                                                      Binding: ?? (example): SNOMED CT Clinical Findings
                                                                                        ... presentedForm 0..*AttachmentEntire report as issued
                                                                                        0..*AttachmentEntire report as issued
                                                                                          ... relatesTo 0..*RelatedArtifactRelated DiagnosticReports
                                                                                          • Added this element
                                                                                          ... procedure Σ0..*Reference(Procedure)The procedure(s) from which the report was produced
                                                                                          • Added this element
                                                                                          ... note 0..*AnnotationComments about the diagnostic report
                                                                                          • Added this element
                                                                                          ... study 0..*Reference(GenomicStudy | ImagingStudy)Reference to full details of an analysis associated with the diagnostic report
                                                                                          • Added this element
                                                                                          ... supportingInfo 0..*BackboneElementAdditional information supporting the diagnostic report
                                                                                          • Added this element
                                                                                          ... composition C0..1Reference(Composition)Reference to a Composition resource for the DiagnosticReport structure
                                                                                          • Added this element
                                                                                          ... recomendation Σ0..*CodeableReference(Resource)Recommendations based on findings and interpretations
                                                                                          • Added this element
                                                                                          ... communication 0..*Reference(Communication)Communication initiated during the reporting process
                                                                                          • Added this element

                                                                                          doco Documentation for this format