Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation vs http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation

Left:IPA-Observation (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation)
Right:Observation Profile (General Use) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation' vs 'http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation'
ErrorStructureDefinition.versionValues for version differ: '1.0.0' vs '1.1.0'
InformationStructureDefinition.nameValues for name differ: 'IPAObservation' vs 'ObservationProfile'
InformationStructureDefinition.titleValues for title differ: 'IPA-Observation' vs 'Observation Profile (General Use)'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2022-08-02' vs '2022-03-25'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Canada - FHIR Implementation Work Group'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'urn:iso:std:iso:3166#CA'
InformationStructureDefinition.shortValues for short differ: 'Measurements and simple assertions' vs 'Observation Profile'
InformationStructureDefinition.definitionValues for definition differ: 'Measurements and simple assertions made about a patient, device or other subject.' vs 'The Observation Profile is based upon the core FHIR Observation Resource'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.commentValues for comment differ: '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.' vs 'The binding strength of this element is [Preferred](https://www.hl7.org/fhir/terminologies.html#strength), meaning that codes are encouraged to draw from the LOINC code system for interoperability purposes but are not required to do so to be considered conformant. *All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
ErrorObservation.subjectType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]])
InformationStructureDefinition.commentValues for comment differ: '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.' vs 'This element is recommended for support and was initially flagged as must support but was later determined to be too strong for some types of observation profiles that want to derive from the CA Baseline but do not need a dataAbsentReason concept'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.commentValues for comment differ: 'For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.' vs 'Some elements underneath this backbone element are considered must support. This does not incur the expectation to support these elements for any implementers that do not need to support the parent concept of observation.component. This may need to be evaluated in the future as impelementations seek to derive directly from the CA Baseline profiles'
InformationStructureDefinition.commentValues for comment differ: '*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.' vs 'The binding strength of this element is [Preferred](https://www.hl7.org/fhir/terminologies.html#strength), meaning that codes are encouraged to draw from the LOINC code system for interoperability purposes but are not required to do so to be considered conformant. *All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
WarningObservation.component.codeElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.component.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyrightUsed by permission of HL7 International all rights reserved Creative Commons License
      • Removed the item 'Used by permission of HL7 International all rights reserved Creative Commons License'
      .date2022-08-022022-03-25
      • Values Differ
      .descriptionMinimum expectations for an Observation resource when accessed via a International Patient Access APIProposed constraints on the Observation Resource for general use. This profile sets minimum expectations for the Observation resource to represent various observations if no other, more specific profile is applicable. An observation is a measurement or assertion about a subject (person, group, device, location, or another subject).
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
          • Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
          ..jurisdiction[1]urn:iso:std:iso:3166#CA
          • Added the item 'urn:iso:std:iso:3166#CA'
          .kindresource
            .nameIPAObservationObservationProfile
            • Values Differ
            .publisherHL7 International / Patient CareHL7 Canada - FHIR Implementation Work Group
            • Values Differ
            .purpose
              .statusactivedraft
              • Values Differ
              .titleIPA-ObservationObservation Profile (General Use)
              • Values Differ
              .typeObservation
                .urlhttp://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observationhttp://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation
                • Values Differ
                .version1.0.01.1.0
                • Values Differ

                Structure

                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                .. Observation C0..*ObservationMeasurements 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
                ipa-obs-1: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                C0..*ObservationObservation 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
                  ... 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..*ExtensionAdditional content defined by implementations
                                ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                ?!0..*ExtensionExtensions that cannot be ignored
                                  ... identifier Σ0..*IdentifierBusiness Identifier for observation
                                  Σ0..*IdentifierBusiness Identifier for observation
                                    ... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                    Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                      ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                      Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                        ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                        Binding: ?? (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'
                                        ... category S0..*CodeableConceptClassification of type of observation
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        S0..*CodeableConceptClassification of type of observation
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                          ... code SΣ1..1CodeableConceptType of observation (code / type)
                                          Binding: ?? (example): Codes identifying names of simple observations.

                                          SΣ1..1CodeableConceptType of observation (code / type)
                                          Binding: ?? (preferred): LOINC codes identifying names of simple observations.

                                            ... subject SΣ1..1Reference(http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient)Who and/or what the observation is aboutSΣ1..1Reference(Patient Profile | Group | Device | Location)Who and/or what the observation is about
                                            • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]])
                                            ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                            Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                              ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                ... effective[x] SΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observationSΣ0..1dateTime, PeriodClinically relevant time/time-period for observation
                                                  ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                    ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                    Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                      ... value[x] SΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultSΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                        ... 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
                                                          0..*AnnotationComments about the observation
                                                            ... 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..1Reference(Specimen)Specimen used for this observation
                                                                  ... 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(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                        Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                          ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                          Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                            ... component Σ0..*BackboneElementComponent results
                                                                                            Σ0..*BackboneElementComponent results
                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                    .... code Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                    Binding: ?? (example): Codes identifying names of simple observations.

                                                                                                    SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                                    Binding: ?? (preferred): LOINC codes identifying names of simple observations.

                                                                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                                    .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultSΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                                    .... 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..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                          doco Documentation for this format