Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment vs http://hl7.org/fhir/us/odh/StructureDefinition/odh-PastOrPresentJob

Left:US Core Observation Screening Assessment Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment)
Right:Past Or Present Job (http://hl7.org/fhir/us/odh/StructureDefinition/odh-PastOrPresentJob)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment' vs 'http://hl7.org/fhir/us/odh/StructureDefinition/odh-PastOrPresentJob'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '1.3.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationScreeningAssessmentProfile' vs 'PastOrPresentJob'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Screening Assessment Profile' vs 'Past Or Present Job'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2020-01-04'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International Public Health Work Group'
InformationStructureDefinition.copyrightValues for copyright differ: 'Used by permission of HL7 International, all rights reserved Creative Commons License' vs '©2020+ HL7 International Public Health Work Group. Package hl7.fhir.us.odh#1.0.0 based on FHIR 4.0.1. Generated 2020-01-08. Links: Home | QA Report | Search | Version History external | CC0 external | Propose a change external'
WarningObservationElements differ in short: 'Survey Observation' vs 'Past Or Present Job'
WarningObservationElements differ in definition: '\-' vs 'Related data elements for a current or previous job, as reported by the person, i.e., a work situation or position held for a specified time period. A person can have more than one job at the same time and multiple jobs over time, so the data related to each job must remain in the record in perpetuity. Each job should be recorded in a separate instance of PastOrPresentJob. A person’s job can be a social determinant of their health and information about a person’s job can support patient care, population health, and public health. In patient care, knowledge of a person’s past or present job(s) can impact recognition, diagnosis, management, and treatment of injuries and illnesses. These data also can be used for clinical decision support and to prompt discussion of preventive care measures. For example, a record of jobs that require prolonged time in the sun might prompt a health care provider to inquire if the person wears protective clothing or sunscreen while working. At a minimum, it is important to have a record of a person’s current job(s); i.e., the job(s) in which a person is engaged at the time that he or she presents to a health care provider, regardless of duration, and to retain that information over time. In the event a person recently stopped working (e.g. retired without another job, became unemployed or disabled and unable to work), the most recent job(s) is used instead of the current job(s).'
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.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension'
WarningObservation.extensionElements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. 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 'An Extension'
WarningObservation.basedOnElements differ in short: 'Fulfills plan, proposal or order' vs 'The plan, proposal or order that is fulfilled in whole or in part by this observation'
WarningObservation.basedOnElements differ in definition: 'A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.' vs 'The plan, proposal or order that is fulfilled in whole or in part by this observation.'
ErrorObservation.basedOnType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]])
WarningObservation.partOfElements differ in short: 'Part of referenced event' vs 'The larger procedure that this particular observation is a component or step'
WarningObservation.partOfElements differ in definition: 'A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.' vs 'The larger procedure that this particular observation is a component or step.'
ErrorObservation.partOfType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationAdministration], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationDispense], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationStatement], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Immunization], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure]])
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'
InformationObservation.categoryElement maximum cardinalities differ: '2147483647' vs '1'
InformationObservation.category.codingElement minimum cardinalities differ: '0' vs '1'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.codeExample/preferred bindings differ at Observation.code using binding from USCoreObservationScreeningAssessmentProfile
InformationObservation.code.codingElement minimum cardinalities differ: '0' vs '1'
WarningObservation.subjectElements differ in short: 'Who and/or what the observation is about' vs 'The subject of an observation'
WarningObservation.subjectElements differ in definition: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'The subject of an observation.'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.focusElements differ in comments: '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].' vs 'This is used only when conveying job information of person(s) who share a home with a patient who is a child. It represents the relationship of the person holding this Job Occupation to the patient.'
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'
InformationObservation.effective[x]Element minimum cardinalities differ: '0' vs '1'
WarningObservation.performerElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.value[x]Elements differ in comments: 'An observation may have a value if it represents an individual survey, screening, or assessment question and answer pair. An observation should not have a value if it represents a multi-question or multi-select “check all that apply” responses. 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.' 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] below.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.dataAbsentReasonElements differ in short: 'Why the result is missing' vs 'The reason that there is no value available for the Occupation.'
WarningObservation.dataAbsentReasonElements differ in definition: 'Provides a reason why the expected value in the element Observation.value[x] is missing.' vs 'The reason that there is no value available for the Occupation.'
WarningObservation.dataAbsentReasonElements differ in comments: ''Null' or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.' vs 'Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be 'detected', 'not detected', 'inconclusive', or 'specimen unsatisfactory'. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code 'error' could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.interpretationElement maximum cardinalities differ: '2147483647' vs '0'
InformationObservation.bodySiteElement maximum cardinalities differ: '1' vs '0'
InformationObservation.methodElement maximum cardinalities differ: '1' vs '0'
InformationObservation.specimenElement maximum cardinalities differ: '1' vs '0'
InformationObservation.deviceElement maximum cardinalities differ: '1' vs '0'
InformationObservation.referenceRangeElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.hasMemberElements differ in short: 'Reference to panel or multi-select responses' vs 'Related resource that belongs to the Observation group'
WarningObservation.hasMemberElements differ in definition: 'Aggregate set of Observations that represent question answer pairs for both multi-question surveys, screenings, and assessments and multi-select questions.' 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.'
WarningObservation.hasMemberElements differ in comments: 'This grouping element is used to represent surveys, screenings, and assessments that group several questions together or individual questions with “check all that apply” responses. For example in the simplest case a flat multi-question survey where the 'panel' observation is the survey instrument itself and instead of an `Observation.value` the `hasMember` element references other Observation that represent the individual questions answer pairs. When there is a heirarchical grouping of questions, the observation 'panels' can be nested. Because surveys, screenings, and assessments can be arbitrarily complex structurally, not all structures can be represented using this Observation grouping pattern.' 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] below. Note that a system may calculate results from [QuestionnaireResponse] into a final score and represent the score as an Observation.'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.hasMemberElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.derivedFromElements differ in short: 'Related Observation(s) or other resource the observation is made from' vs 'Related measurements the observation is made from'
WarningObservation.derivedFromElements differ in definition: 'Observations or or other resource such as a QuestionnaireResponse from which this observation value is derived.' vs 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.'
WarningObservation.derivedFromElements differ in definition for mustSupport: 'true' vs 'false'
ErrorObservation.derivedFromType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation]])
WarningObservation.component.value[x]Elements differ in comments: '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] below.' vs 'If there is no coded value available for the Industry, the narrative description SHALL be expressed using originalText. The CDC_Census system has been used by public health programs to classify industry and occupation when only a text description has been collected. The PHIN VADS Hot Topics for ODH includes crosswalk tables from Industry_NAICS_Detail_(ODH) values to Industry_CDC_Census_2010 values.'
InformationObservation.component.referenceRangeElement maximum cardinalities differ: '2147483647' vs '0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License©2020+ HL7 International Public Health Work Group. Package hl7.fhir.us.odh#1.0.0 based on FHIR 4.0.1. Generated 2020-01-08. Links: Home | QA Report | Search | Version History external | CC0 external | Propose a change external
      • Values Differ
      .date2022-04-202020-01-04
      • Values Differ
      .descriptionThe US Core Observation Screening Assessment Profile meets the requirements of the US Core Data for Interoperability (USCDI) Assessments. To promote interoperability and adoption through common implementation, it sets the minimum expectations for the Observation Resource to record, search, and fetch observations representing the questions and responses to surveys and screening and assessment tools. For example, a social history status such as education or food insecurity or an assessment of the patient's cognitive, functional, or disability status. It can represent a single response, multiple responses, and multi-select "check all that apply" type questions. 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 use cases.A Past or Present Occupation Observation is a clinical statement about the type of work done by a person in a job, as reported by that person. It includes a set of self-reported, related observations that remain associated with one-another to characterize the job and provide clinically-relevant information. It also can be used in a minor's record for the job(s) of people who share a home with the person (see optional related subject). A job is defined as a work situation, training position, or (potentially clinically-relevant) volunteer position held for a specified time period; for a given job, updates to Job Occupation, Past or Present Industry (Job Industry), Supervisory Level, or Employer would constitute a new job or volunteer position. A person can have more than one job at the same time and multiple jobs over time. Knowledge about a person's job(s) informs diagnosis and management of illness and injury; it also informs management of health in the work environment, regardless of whether a condition is work-related. While knowing about a person’s current job(s) is likely to be most important, some work-related health conditions can manifest after a long latency so a history of jobs can also provide valuable information. This set of related Job observations also can provide information for public health to locate infectious disease outbreaks and intervene to prevent further illness. Public health can also use these data to analyze work-related conditions such as silicosis, pesticide poisoning, and some types of cancer to identify Occupations, Industry sectors and Employers for whom interventions are needed to mitigate risk.
      • Values Differ
      .experimental
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreObservationScreeningAssessmentProfilePastOrPresentJob
                • Values Differ
                .publisherHL7 International - Cross-Group ProjectsHL7 International Public Health Work Group
                • Values Differ
                .purpose
                  .statusactive
                    .titleUS Core Observation Screening Assessment ProfilePast Or Present Job
                    • Values Differ
                    .typeObservation
                      .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessmenthttp://hl7.org/fhir/us/odh/StructureDefinition/odh-PastOrPresentJob
                      • Values Differ
                      .version6.0.0-ballot1.3.0
                      • Values Differ

                      Structure

                      NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                      .. Observation C0..*ObservationSurvey Observation
                      us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                      us-core-3: SHALL use UCUM for coded quantity units.
                      C0..*ObservationPast Or Present Job
                      • Elements differ in short: 'Survey Observation' vs 'Past Or Present Job'
                      • Elements differ in definition: '\-' vs 'Related data elements for a current or previous job, as reported by the person, i.e., a work situation or position held for a specified time period. A person can have more than one job at the same time and multiple jobs over time, so the data related to each job must remain in the record in perpetuity. Each job should be recorded in a separate instance of PastOrPresentJob. A person’s job can be a social determinant of their health and information about a person’s job can support patient care, population health, and public health. In patient care, knowledge of a person’s past or present job(s) can impact recognition, diagnosis, management, and treatment of injuries and illnesses. These data also can be used for clinical decision support and to prompt discussion of preventive care measures. For example, a record of jobs that require prolonged time in the sun might prompt a health care provider to inquire if the person wears protective clothing or sunscreen while working. At a minimum, it is important to have a record of a person’s current job(s); i.e., the job(s) in which a person is engaged at the time that he or she presents to a health care provider, regardless of duration, and to retain that information over time. In the event a person recently stopped working (e.g. retired without another job, became unemployed or disabled and unable to work), the most recent job(s) is used instead of the current job(s).'
                      • 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..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: ?? (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..*ExtensionExtension
                                  Slice: Unordered, Open by value:url
                                  • Elements differ in short: 'Additional content defined by implementations' vs 'Extension'
                                  • Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. 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 'An Extension'
                                  ... 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(ServiceRequest)The plan, proposal or order that is fulfilled in whole or in part by this observation
                                      • Elements differ in short: 'Fulfills plan, proposal or order' vs 'The plan, proposal or order that is fulfilled in whole or in part by this observation'
                                      • Elements differ in definition: 'A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.' vs 'The plan, proposal or order that is fulfilled in whole or in part by this observation.'
                                      • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]])
                                      ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                      Σ0..*Reference(Procedure)The larger procedure that this particular observation is a component or step
                                      • Elements differ in short: 'Part of referenced event' vs 'The larger procedure that this particular observation is a component or step'
                                      • Elements differ in definition: 'A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.' vs 'The larger procedure that this particular observation is a component or step.'
                                      • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationAdministration], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationDispense], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationStatement], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Immunization], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure]])
                                      ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                      Binding: ?? (required): Codes providing the status of an observation.

                                      ?!Σ1..1coderegistered | preliminary | final | amended +
                                      Binding: ?? (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: ?? (preferred): Codes for high level observation categories.


                                      0..1CodeableConceptClassification of type of observation
                                      Binding: ?? (preferred): Codes for high level observation categories.


                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      • Element minimum cardinalities differ: '1' vs '0'
                                      • Element maximum cardinalities differ: '2147483647' vs '1'
                                      .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                        .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                        Slice: Unordered, Open by value:url
                                        0..*ExtensionAdditional content defined by implementations
                                        Slice: Unordered, Open by value:url
                                          .... coding Σ0..*CodingCode defined by a terminology system
                                          Σ1..*CodingCode defined by a terminology system
                                          Slice: Unordered, Open by value:code
                                          • Element minimum cardinalities differ: '0' vs '1'
                                          .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                            ... code SΣ1..1CodeableConceptType of observation (code / type)
                                            Binding: ?? (preferred)
                                            Σ1..1CodeableConceptType of observation (code / type)
                                            Binding: ?? (example): Codes identifying names of simple observations.

                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            • Example/preferred bindings differ at Observation.code using binding from USCoreObservationScreeningAssessmentProfile
                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                              0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                                .... coding Σ0..*CodingCode defined by a terminology system
                                                Σ1..*CodingCode defined by a terminology system
                                                Slice: Unordered, Open by value:code
                                                • Element minimum cardinalities differ: '0' vs '1'
                                                .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                                  ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutΣ1..1Reference(US Core Patient Profile)The subject of an observation
                                                  • Elements differ in short: 'Who and/or what the observation is about' vs 'The subject of an observation'
                                                  • Elements differ in definition: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'The subject of an observation.'
                                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                  ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                  Σ0..*Reference(RelatedPerson)What the observation is about, when it is not about the subject of record
                                                  • Elements differ in comments: '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].' vs 'This is used only when conveying job information of person(s) who share a home with a patient who is a child. It represents the relationship of the person holding this Job Occupation to the patient.'
                                                  ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                    ... effective[x] SΣC0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                                    us-core-1: Datetime must be at least to day.
                                                    Σ1..1PeriodClinically relevant time/time-period for observation
                                                    Slice: Unordered, Closed by type:$this
                                                    • 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'
                                                    • Element minimum cardinalities differ: '0' vs '1'
                                                    ... 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 | Organization | US Core Patient Profile | RelatedPerson)Who is responsible for the observation
                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      ... value[x] SΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                      Slice: Unordered, Open by type:$this
                                                      • Elements differ in comments: 'An observation may have a value if it represents an individual survey, screening, or assessment question and answer pair. An observation should not have a value if it represents a multi-question or multi-select “check all that apply” responses. 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.' 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] below.'
                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                      Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                      C0..1CodeableConceptThe reason that there is no value available for the Occupation.
                                                      Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                      • Elements differ in short: 'Why the result is missing' vs 'The reason that there is no value available for the Occupation.'
                                                      • Elements differ in definition: 'Provides a reason why the expected value in the element Observation.value[x] is missing.' vs 'The reason that there is no value available for the Occupation.'
                                                      • Elements differ in comments: '"Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.' vs 'Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.'
                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                      Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                      0..0
                                                      • Element maximum cardinalities differ: '2147483647' vs '0'
                                                      ... note 0..*AnnotationComments about the observation
                                                      0..*AnnotationComments about the observation
                                                        ... bodySite 0..1CodeableConceptObserved body part
                                                        Binding: ?? (example): Codes describing anatomical locations. May include laterality.

                                                        0..0
                                                        • Element maximum cardinalities differ: '1' vs '0'
                                                        ... method 0..1CodeableConceptHow it was done
                                                        Binding: ?? (example): Methods for simple observations.

                                                        0..0
                                                        • Element maximum cardinalities differ: '1' vs '0'
                                                        ... specimen 0..1Reference(Specimen)Specimen used for this observation0..0
                                                        • Element maximum cardinalities differ: '1' vs '0'
                                                        ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..0
                                                        • Element maximum cardinalities differ: '1' vs '0'
                                                        ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                        C0..0
                                                        • Element maximum cardinalities differ: '2147483647' vs '0'
                                                        .... 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: ?? (extensible): 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: ?? (extensible): 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 SΣ0..*Reference(US Core Observation Screening Assessment Profile S | QuestionnaireResponse | MolecularSequence)Reference to panel or multi-select responses
                                                                          Σ0..0
                                                                          • Elements differ in short: 'Reference to panel or multi-select responses' vs 'Related resource that belongs to the Observation group'
                                                                          • Elements differ in definition: 'Aggregate set of Observations that represent question answer pairs for both multi-question surveys, screenings, and assessments and multi-select questions.' 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.'
                                                                          • Elements differ in comments: 'This grouping element is used to represent surveys, screenings, and assessments that group several questions together or individual questions with “check all that apply” responses. For example in the simplest case a flat multi-question survey where the "panel" observation is the survey instrument itself and instead of an `Observation.value` the `hasMember` element references other Observation that represent the individual questions answer pairs. When there is a heirarchical grouping of questions, the observation "panels" can be nested. Because surveys, screenings, and assessments can be arbitrarily complex structurally, not all structures can be represented using this Observation grouping pattern.' 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] below. Note that a system may calculate results from [QuestionnaireResponse] into a final score and represent the score as an Observation.'
                                                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                          • Element maximum cardinalities differ: '2147483647' vs '0'
                                                                          ... derivedFrom SΣ0..*Reference(US Core Observation Screening Assessment Profile S | QuestionnaireResponse | US Core DocumentReference Profile | ImagingStudy | Media | MolecularSequence)Related Observation(s) or other resource the observation is made from
                                                                          Σ0..*Reference(DocumentReference | Media | QuestionnaireResponse | Observation)Related measurements the observation is made from
                                                                          • Elements differ in short: 'Related Observation(s) or other resource the observation is made from' vs 'Related measurements the observation is made from'
                                                                          • Elements differ in definition: 'Observations or or other resource such as a QuestionnaireResponse from which this observation value is derived.' vs 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.'
                                                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                          • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation]])
                                                                          ... component Σ0..*BackboneElementComponent results
                                                                          Σ0..*BackboneElementComponent results
                                                                          Slice: Unordered, Open by value:code.coding.code
                                                                            .... 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: ?? (example): Codes identifying names of simple observations.

                                                                                  Σ1..1CodeableConceptType of component observation (code / type)
                                                                                  Binding: ?? (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, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                    • Elements differ in comments: '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] below.' vs 'If there is no coded value available for the Industry, the narrative description SHALL be expressed using originalText. The CDC_Census system has been used by public health programs to classify industry and occupation when only a text description has been collected. The PHIN VADS Hot Topics for ODH includes crosswalk tables from Industry_NAICS_Detail_(ODH) values to Industry_CDC_Census_2010 values.'
                                                                                    .... dataAbsentReason C0..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.

                                                                                      .... 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..0
                                                                                        • Element maximum cardinalities differ: '2147483647' vs '0'

                                                                                        doco Documentation for this format