Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate vs http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-group

Left:US Core Respiratory Rate Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate)
Right:PA Observation - Supporting, Activity Group (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-group)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate' vs 'http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-group'
ErrorStructureDefinition.versionValues for version differ: '7.0.0-ballot' vs '1.0.1'
InformationStructureDefinition.nameValues for name differ: 'USCoreRespiratoryRateProfile' vs 'PAObservationActivityGroup'
InformationStructureDefinition.titleValues for title differ: 'US Core Respiratory Rate Profile' vs 'PA Observation - Supporting, Activity Group'
InformationStructureDefinition.dateValues for date differ: '2023-10-17' vs '2024-03-12T17:26:10+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Patient Care'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs' vs 'http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-base'
InformationStructureDefinition.shortValues for short differ: 'US Core Respiratory Rate Profile' vs 'Measurements and simple assertions'
InformationStructureDefinition.definitionValues for definition differ: '\-' vs 'A profile for observations that collects a set of activity-related measures that all pertain to the same physical activity instance.'
InformationStructureDefinition.commentValues for comment differ: '\-' 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.'
InformationObservation.implicitRulesElement maximum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Extensions that cannot be ignored' vs 'Extension'
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 'An Extension'
InformationObservation.modifierExtensionElement maximum cardinalities differ: '2147483647' vs '0'
InformationStructureDefinition.commentValues for comment differ: 'To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below for guidance on referencing another Observation.' vs 'To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.'
InformationStructureDefinition.shortValues for short differ: 'registered | preliminary | final | amended +' vs 'final | amended | corrected | entered-in-error'
InformationStructureDefinition.commentValues for comment differ: 'This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.' vs 'In the vast majority of cases, the status value will be 'final'. Systems are not expected to distinguish amended and corrected results.'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '2'
InformationStructureDefinition.shortValues for short differ: 'Respiratory Rate' vs 'Type of observation (code / type)'
InformationStructureDefinition.definitionValues for definition differ: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
InformationStructureDefinition.requirementsValues for requirements differ: '5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).' vs 'Knowing what kind of observation is being made is essential to understanding the observation.'
InformationStructureDefinition.commentValues for comment differ: 'Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., 'Blood Glucose') and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/extension-observation-focuscode.html).' vs 'Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., 'Blood Glucose') and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Often just a dateTime for Vital Signs' vs 'Clinically relevant time/time-period for observation'
InformationStructureDefinition.definitionValues for definition differ: 'Often just a dateTime for Vital Signs.' 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.'
InformationStructureDefinition.commentValues for comment differ: '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](http://hl7.org/fhir/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.' 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](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events. This will typically be a dateTime specific to the day. If the information is available, a Period can be used to indicate the specific start and end times. It **SHOULD** be the same as the effective[x] value for all member Observations.'
InformationStructureDefinition.commentValues for comment differ: 'For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.' vs 'For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.'
WarningObservation.performerElements differ in definition for mustSupport: 'false' vs 'true'
ErrorObservation.performerType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest-or-logical]])([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
InformationStructureDefinition.shortValues for short differ: 'Vital Signs Value' vs 'Actual result'
InformationStructureDefinition.definitionValues for definition differ: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
InformationStructureDefinition.commentValues for comment differ: 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/observation.html#notes) below.' vs 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.'
InformationStructureDefinition.requirementsValues for requirements differ: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
InformationObservation.value[x]Element maximum cardinalities differ: '1' vs '0'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.commentValues for comment differ: 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.' vs 'May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation. Comments allows supporting and qualifying information'
WarningObservation.noteElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.commentValues for comment differ: 'Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/extension-bodysite.html).' vs 'Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).'
InformationObservation.specimenElement maximum cardinalities differ: '1' vs '0'
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/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://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Used when reporting vital signs panel components' vs 'Related resource that belongs to the Observation group'
InformationStructureDefinition.definitionValues for definition differ: 'Used when reporting vital signs panel components.' vs 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.'
InformationStructureDefinition.commentValues for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.hasMemberElement minimum cardinalities differ: '0' vs '1'
ErrorObservation.hasMemberType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest]])([CanonicalType[http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-measure]])
InformationStructureDefinition.commentValues for comment differ: 'All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/observation.html#obsgrouping) below.' vs 'All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.'
InformationStructureDefinition.shortValues for short differ: 'Component observations' vs 'Component results'
InformationStructureDefinition.definitionValues for definition differ: 'Used when reporting component observation such as systolic and diastolic blood pressure.' vs 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.'
InformationStructureDefinition.commentValues for comment differ: 'For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/observation.html#notes) below.' vs 'For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'
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/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://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
WarningObservation.component.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Vital Sign Component Value' vs 'Actual component result'
InformationStructureDefinition.definitionValues for definition differ: 'Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
InformationStructureDefinition.commentValues for comment differ: 'Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/observation.html#notes) below.' vs 'Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.'
InformationStructureDefinition.requirementsValues for requirements differ: '9. SHALL contain exactly one [1..1] value with @xsi:type='PQ' (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.'
WarningObservation.component.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signshttp://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-base
    • Values Differ
    .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'
    .date2023-10-172024-03-12T17:26:10+00:00
    • Values Differ
    .descriptionTo promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch respiratory rate observations with a standard LOINC code and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.A profile for observations that collects a set of activity-related measures that all pertain to the same physical activity instance.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreRespiratoryRateProfilePAObservationActivityGroup
            • Values Differ
            .publisherHL7 International / Cross-Group ProjectsHL7 International / Patient Care
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Respiratory Rate ProfilePA Observation - Supporting, Activity Group
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-ratehttp://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-group
                  • Values Differ
                  .version7.0.0-ballot1.0.1
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation C0..*USCoreVitalSignsProfileUS Core Respiratory Rate Profile
                  obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                  obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                  vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
                  C0..*PAObservationBaseMeasurements and simple assertions
                  obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                  obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                    ... 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..0
                        • Element maximum cardinalities differ: '1' vs '0'
                        ... language 0..1codeLanguage of the resource content
                        Binding: ?? (preferred): A human language.

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

                        Additional BindingsPurpose
                        ??Max 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..0
                                • Element maximum cardinalities differ: '2147483647' vs '0'
                                ... 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: ?? (required)
                                      ?!SΣ1..1codefinal | amended | corrected | entered-in-error
                                      Binding: ?? (required)
                                        ... Slices for category S1..*CodeableConceptClassification of type of observation
                                        Slice: Unordered, Open by value:coding.code, value:coding.system
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        2..*CodeableConceptClassification of type of observation
                                        Slice: Unordered, Open by pattern:$this
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element minimum cardinalities differ: '1' vs '2'
                                        ... code SΣ1..1CodeableConceptRespiratory Rate
                                        Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.


                                        Required Pattern: {"coding":[{"system":"http://loinc.org","code":"9279-1"}]}
                                        SΣ1..1CodeableConceptType of observation (code / type)
                                        Binding: ?? (preferred)
                                        Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes","code":"PAPanel"}]}
                                          ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1ReferenceRest(US Core Patient Profile)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..0
                                            • Element maximum cardinalities differ: '2147483647' vs '0'
                                            ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                              ... effective[x] SΣC1..1dateTime S, PeriodOften just a dateTime for Vital Signs
                                              vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
                                              SΣ1..1dateTime S, PeriodClinically relevant time/time-period for observation
                                              Slice: Unordered, Closed by type:$this
                                                ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                  ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                  SΣ0..*ReferenceRestOrLogical(US Core Patient Profile S | US Core Practitioner Profile S | US Core PractitionerRole Profile | RelatedPerson)Who is responsible for the observation
                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                  • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest-or-logical]])([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
                                                  ... Slices for value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Signs Value
                                                  Slice: Unordered, Open by type:$this
                                                  Binding: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                  SΣC0..0
                                                  • Element maximum cardinalities differ: '1' vs '0'
                                                  ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                  C0..1CodeableConceptWhy the result is missing
                                                  Binding: ?? (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: ?? (extensible): Codes identifying interpretations of observations.


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


                                                    ... note 0..*AnnotationComments about the observation
                                                    S0..*AnnotationComments about the observation
                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                    .... id 0..1stringUnique id for inter-element referencing
                                                    • Added this element
                                                    .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                    Slice: Unordered, Open by value:url
                                                    • Added this element
                                                    .... author[x] SΣ1..1ReferenceRestOrLogical(Practitioner S | Patient S | RelatedPerson)Individual responsible for the annotation
                                                    • Added this element
                                                    .... time SΣ1..1dateTimeWhen the annotation was made
                                                    • Added this element
                                                    .... text SΣ1..1markdownThe annotation - text content (as markdown)
                                                    • Added this element
                                                    ... bodySite 0..1CodeableConceptObserved body part
                                                    Binding: ?? (example): Codes describing anatomical locations. May include laterality.

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

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

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

                                                        ... specimen 0..1Reference(Specimen)Specimen used for this observation0..0
                                                        • Element maximum cardinalities differ: '1' vs '0'
                                                        ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                          ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                          obs-3: Must have at least a low or a high or text
                                                          C0..*BackboneElementProvides guide for interpretation
                                                          obs-3: Must have at least a low or a high or text
                                                            .... 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 C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                    .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                      .... type 0..1CodeableConceptReference range qualifier
                                                                      Binding: ?? (preferred): Code for the meaning of a reference range.

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

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


                                                                        0..*CodeableConceptReference range population
                                                                        Binding: ?? (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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                              SΣ1..*ReferenceRest(PA Observation - Supporting, Activity-based)Related resource that belongs to the Observation group
                                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                              • Element minimum cardinalities differ: '0' vs '1'
                                                                              • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest]])([CanonicalType[http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-activity-measure]])
                                                                              ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                              Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                ... component SΣC0..*BackboneElementComponent observations
                                                                                vs-3: If there is no a value a data absent reason must be present
                                                                                Σ0..*BackboneElementComponent results
                                                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                .... 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 SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                      Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

                                                                                      Σ1..1CodeableConceptType of component observation (code / type)
                                                                                      Binding: ?? (example): Codes identifying names of simple observations.

                                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                      .... value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component Value
                                                                                      Binding: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                                                      Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                      .... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
                                                                                      Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                      C0..1CodeableConceptWhy the component result is missing
                                                                                      Binding: ?? (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: ?? (extensible): Codes identifying interpretations of observations.


                                                                                      0..*CodeableConceptHigh, low, normal, etc.
                                                                                      Binding: ?? (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