Profile Comparison between http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation vs http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation

Left:Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation)
Right:Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation)

Messages

ErrorStructureDefinition.versionValues for version differ: '3.0.0' vs '4.0.0-ballot'
InformationStructureDefinition.dateValues for date differ: '2024-05-18T00:16:25-05:00' vs '2024-11-21T20:34:36+00:00'
InformationObservation.codeStructureDefinition AssessmentScaleObservation has added constraint that is not found in AssessmentScaleObservation and it is uncertain whether they are compatible (translation.exists())
InformationStructureDefinition.shortValues for short differ: '(USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment' vs 'Intended to hold the calculated score, if a calculated score exists in the originating questionaire or scale from the contained Assessment Scale Observations, and the associated answer integer will be at observation.value.translationCode, if present'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/cda/stds/core/StructureDefinition/Observation
      .copyright
        .date2024-05-18T00:16:25-05:002024-11-21T20:34:36+00:00
        • Values Differ
        .descriptionAn assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints.An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints. The Observation value is used to record a calculated score using an integer. A LOINC answer concept is used when the assessment is non-calculated result.
        • Values Differ
        .experimental
          .fhirVersion5.0.0
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
                .kindlogical
                  .nameAssessmentScaleObservation
                    .publisherHealth Level Seven
                      .purpose
                        .statusdraft
                          .titleAssessment Scale Observation
                            .typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                              .urlhttp://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation
                                .version3.0.04.0.0-ballot
                                • Values Differ

                                Structure

                                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                .. Observation C1..1ObservationBase for all types and resources
                                Instance of this type are validated by templateId
                                Logical Container: ClinicalDocument (CDA Class)
                                should-text-ref-value: SHOULD contain text/reference/@value
                                C1..1ObservationBase for all types and resources
                                Instance of this type are validated by templateId
                                Logical Container: ClinicalDocument (CDA Class)
                                should-text-ref-value: SHOULD contain text/reference/@value
                                  ... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                    ... realmCode 0..*CS0..*CS
                                      ... typeId 0..1II0..1II
                                        .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                          .... assigningAuthorityName 0..1??0..1??
                                            .... displayable 0..1??0..1??
                                              .... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                .... st-simple 1..1stringPrimitive Type string
                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                1..1stringPrimitive Type string
                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                  ... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
                                                  1..*IISlice: Unordered, Open by value:root, value:extension
                                                    ... classCode 1..1??Binding: ?? (required)
                                                    Fixed Value: OBS
                                                    1..1??Binding: ?? (required)
                                                    Fixed Value: OBS
                                                      ... moodCode 1..1??Binding: ?? (required)
                                                      Fixed Value: EVN
                                                      1..1??Binding: ?? (required)
                                                      Fixed Value: EVN
                                                        ... negationInd 0..1??0..1??
                                                          ... id 1..*II1..*II
                                                            ... code 1..1CDBinding: ?? (example)
                                                            Additional BindingsPurposeDocumentation
                                                            ??Preferred
                                                            For Social Determinant of Health Assessments
                                                            C1..1CDsurvey
                                                            Binding: ?? (example)
                                                            should-translation: SHOULD contain translation
                                                            • StructureDefinition AssessmentScaleObservation has added constraint that is not found in AssessmentScaleObservation and it is uncertain whether they are compatible (translation.exists())
                                                            .... nullFlavor 0..1??Binding: ?? (required)
                                                            • Added this element
                                                            .... code 1..1??Required Pattern: survey
                                                            • Added this element
                                                            .... codeSystem 1..1??, ??, ??Observation Category Codes
                                                            Required Pattern: 2.16.840.1.113883.4.642.1.1125
                                                            • Added this element
                                                            .... codeSystemName 0..1??
                                                            • Added this element
                                                            .... codeSystemVersion 0..1??
                                                            • Added this element
                                                            .... displayName 0..1??
                                                            • Added this element
                                                            .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                            • Added this element
                                                            .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                            • Added this element
                                                            .... originalText 0..1ED
                                                            • Added this element
                                                            .... qualifier 0..*CR
                                                            • Added this element
                                                            .... translation 0..*CDBinding: ?? (preferred)
                                                            Additional BindingsPurposeDocumentation
                                                            ??Preferred
                                                            For Social Determinant of Health Assessments

                                                            • Added this element
                                                            ... derivationExpr 0..1STSuch derivation expression can contain a text calculation of how the components total up to the summed score0..1STSuch derivation expression can contain a text calculation of how the components total up to the summed score
                                                              ... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
                                                                .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                  .... compression 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                    .... integrityCheck 0..1??0..1??
                                                                      .... integrityCheckAlgorithm 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                        .... language 0..1??0..1??
                                                                          .... mediaType 0..1??Binding: ?? (example)0..1??Binding: ?? (example)
                                                                            .... representation 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                              .... xmlText 0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                                                                                .... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrativeC0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
                                                                                  .... thumbnail 0..1ED0..1ED
                                                                                    ... statusCode 1..1CSBinding: ?? (required)1..1CSBinding: ?? (required)
                                                                                      .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                        .... code 1..1??Fixed Value: completed1..1??Fixed Value: completed
                                                                                          .... codeSystem 0..00..0
                                                                                            .... codeSystemName 0..00..0
                                                                                              .... codeSystemVersion 0..00..0
                                                                                                .... displayName 0..00..0
                                                                                                  .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                                                                    .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                                                                      .... originalText 0..00..0
                                                                                                        .... qualifier 0..00..0
                                                                                                          .... translation 0..00..0
                                                                                                            ... effectiveTime 1..1IVL_TSRepresents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)1..1IVL_TSRepresents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
                                                                                                              ... priorityCode 0..1CEBinding: ?? (example)0..1CEBinding: ?? (example)
                                                                                                                ... repeatNumber 0..1IVL_INT0..1IVL_INT
                                                                                                                  ... languageCode 0..1CSBinding: ?? (required)0..1CSBinding: ?? (required)
                                                                                                                    ... value 1..1ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ(USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment
                                                                                                                    1..1ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQIntended to hold the calculated score, if a calculated score exists in the originating questionaire or scale from the contained Assessment Scale Observations, and the associated answer integer will be at observation.value.translationCode, if present
                                                                                                                      ... interpretationCode 0..*CEBinding: ?? (required)
                                                                                                                      0..*CEBinding: ?? (required)
                                                                                                                        .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                          .... code 0..1??0..1??
                                                                                                                            .... codeSystem 0..1??, ??, ??0..1??, ??, ??
                                                                                                                              .... codeSystemName 0..1??0..1??
                                                                                                                                .... codeSystemVersion 0..1??0..1??
                                                                                                                                  .... displayName 0..1??0..1??
                                                                                                                                    .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                                                                                                      .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                                                                                                        .... originalText 0..1ED0..1ED
                                                                                                                                          .... qualifier 0..00..0
                                                                                                                                            .... translation 0..*CD0..*CD
                                                                                                                                              ... methodCode 0..*CEBinding: ?? (example)
                                                                                                                                              0..*CEBinding: ?? (example)
                                                                                                                                                ... targetSiteCode 0..*CD0..*CD
                                                                                                                                                  ... subject 0..1Subject0..1Subject
                                                                                                                                                    ... specimen 0..*Specimen0..*Specimen
                                                                                                                                                      ... performer 0..*Performer20..*Performer2
                                                                                                                                                        ... author 0..*Author0..*Author
                                                                                                                                                          ... informant 0..*Informant0..*Informant
                                                                                                                                                            ... participant 0..*Participant20..*Participant2
                                                                                                                                                              ... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:observation, value:typeCode
                                                                                                                                                              0..*EntryRelationshipSlice: Unordered, Open by profile:observation, value:typeCode
                                                                                                                                                                ... reference 0..*Reference0..*Reference
                                                                                                                                                                  ... precondition 0..*Precondition0..*Precondition
                                                                                                                                                                    ... sdtcPrecondition2 0..*Precondition2XML: precondition2 (urn:hl7-org:sdtc)
                                                                                                                                                                    0..*Precondition2XML: precondition2 (urn:hl7-org:sdtc)
                                                                                                                                                                      ... referenceRange 0..*InfrastructureRootThe referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
                                                                                                                                                                      0..*InfrastructureRootThe referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
                                                                                                                                                                        .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                          .... realmCode 0..*CS0..*CS
                                                                                                                                                                            .... typeId 0..1II0..1II
                                                                                                                                                                              ..... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                ..... assigningAuthorityName 0..1??0..1??
                                                                                                                                                                                  ..... displayable 0..1??0..1??
                                                                                                                                                                                    ..... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                                                                                                                                                      ..... st-simple 1..1stringPrimitive Type string
                                                                                                                                                                                      URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                      1..1stringPrimitive Type string
                                                                                                                                                                                      URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                        .... templateId 0..*II0..*II
                                                                                                                                                                                          .... typeCode 0..1??Binding: ?? (required)
                                                                                                                                                                                          Fixed Value: REFV
                                                                                                                                                                                          0..1??Binding: ?? (required)
                                                                                                                                                                                          Fixed Value: REFV
                                                                                                                                                                                            .... observationRange C1..1ObservationRangeshould-text: SHOULD contain text
                                                                                                                                                                                            should-text-ref-value: SHOULD contain text/reference/@value
                                                                                                                                                                                            C1..1ObservationRangeshould-text: SHOULD contain text
                                                                                                                                                                                            should-text-ref-value: SHOULD contain text/reference/@value
                                                                                                                                                                                              ..... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                ..... realmCode 0..*CS0..*CS
                                                                                                                                                                                                  ..... typeId 0..1II0..1II
                                                                                                                                                                                                    ...... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                      ...... assigningAuthorityName 0..1??0..1??
                                                                                                                                                                                                        ...... displayable 0..1??0..1??
                                                                                                                                                                                                          ...... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                                                                                                                                                                            ...... st-simple 1..1stringPrimitive Type string
                                                                                                                                                                                                            URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                                            1..1stringPrimitive Type string
                                                                                                                                                                                                            URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                                              ..... templateId 0..*II0..*II
                                                                                                                                                                                                                ..... classCode 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                                  ..... moodCode 0..1??Binding: ?? (required)
                                                                                                                                                                                                                  Fixed Value: EVN.CRT
                                                                                                                                                                                                                  0..1??Binding: ?? (required)
                                                                                                                                                                                                                  Fixed Value: EVN.CRT
                                                                                                                                                                                                                    ..... code 0..1CDBinding: ?? (example)0..1CDBinding: ?? (example)
                                                                                                                                                                                                                      ..... text 0..1EDThe text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)0..1EDThe text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
                                                                                                                                                                                                                        ...... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                                          ...... compression 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                                            ...... integrityCheck 0..1??0..1??
                                                                                                                                                                                                                              ...... integrityCheckAlgorithm 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                                                ...... language 0..1??0..1??
                                                                                                                                                                                                                                  ...... mediaType 0..1??Binding: ?? (example)0..1??Binding: ?? (example)
                                                                                                                                                                                                                                    ...... representation 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                                                      ...... xmlText 0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                                                                                                                                                                                                                                        ...... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrativeC0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
                                                                                                                                                                                                                                          ...... thumbnail 0..1ED0..1ED
                                                                                                                                                                                                                                            ..... value 0..1BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS0..1BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS
                                                                                                                                                                                                                                              ..... interpretationCode 0..1CEBinding: ?? (required)0..1CEBinding: ?? (required)
                                                                                                                                                                                                                                                ..... sdtcPrecondition1 0..*InfrastructureRootXML: precondition1 (urn:hl7-org:sdtc)
                                                                                                                                                                                                                                                0..*InfrastructureRootXML: precondition1 (urn:hl7-org:sdtc)
                                                                                                                                                                                                                                                  ...... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                                                                    ...... realmCode 0..*CS0..*CS
                                                                                                                                                                                                                                                      ...... typeId 0..1II0..1II
                                                                                                                                                                                                                                                        ....... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                                                                                          ....... assigningAuthorityName 0..1??0..1??
                                                                                                                                                                                                                                                            ....... displayable 0..1??0..1??
                                                                                                                                                                                                                                                              ....... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                                                                                                                                                                                                                                ....... st-simple 1..1stringPrimitive Type string
                                                                                                                                                                                                                                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                                                                                                1..1stringPrimitive Type string
                                                                                                                                                                                                                                                                URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                                                                                                                  ...... templateId 0..*II0..*II
                                                                                                                                                                                                                                                                    ...... typeCode 0..1??Binding: ?? (required)
                                                                                                                                                                                                                                                                    Fixed Value: PRCN
                                                                                                                                                                                                                                                                    0..1??Binding: ?? (required)
                                                                                                                                                                                                                                                                    Fixed Value: PRCN
                                                                                                                                                                                                                                                                      ...... conjunctionCode 1..1CSXML Namespace: urn:hl7-org:sdtc
                                                                                                                                                                                                                                                                      Binding: ?? (required)
                                                                                                                                                                                                                                                                      1..1CSXML Namespace: urn:hl7-org:sdtc
                                                                                                                                                                                                                                                                      Binding: ?? (required)
                                                                                                                                                                                                                                                                        ...... criterion1 1..1CriterionXML Namespace: urn:hl7-org:sdtc1..1CriterionXML Namespace: urn:hl7-org:sdtc
                                                                                                                                                                                                                                                                          ... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
                                                                                                                                                                                                                                                                          0..*InFulfillmentOf1XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
                                                                                                                                                                                                                                                                            ... sdtcCategory 0..*CDXML: category (urn:hl7-org:sdtc)
                                                                                                                                                                                                                                                                            • Added this element

                                                                                                                                                                                                                                                                            doco Documentation for this format