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

Left:Problem Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)
Right:Problem Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)

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 '2024-12-19T00:36:20+00:00'
InformationObservation.typeIdStructureDefinition ProblemObservation has added constraint that is not found in ProblemObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
InformationObservation.codeExample/preferred bindings differ at Observation.code using binding from ProblemObservation
InformationStructureDefinition.shortValues for short differ: '(USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved.' vs '𝗨𝗦𝗖𝗗𝗜: Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved.'
InformationStructureDefinition.shortValues for short differ: '(USCDI) SDOH Problems/Health Concerns' vs '𝗨𝗦𝗖𝗗𝗜: SDOH Problems/Health Concerns'
InformationObservation.referenceRange.typeIdStructureDefinition ProblemObservation has added constraint that is not found in ProblemObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/cda/stds/core/StructureDefinition/Observation
      .copyright
        .date2024-05-18T00:16:25-05:002024-12-19T00:36:20+00:00
        • Values Differ
        .descriptionThis template reflects a discrete observation about a patient's problem. Because it is a discrete observation, it will have a statusCode of "completed". The effectiveTime, also referred to as the "biologically relevant time" is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago. The effectiveTime of the Problem Observation is the definitive indication of whether or not the underlying condition is inactive. If the problem is known to be resolved, in remission, or otherwise inactive, then an effectiveTime/high would be present. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".
          .experimental
            .fhirVersion5.0.0
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindlogical
                    .nameProblemObservation
                      .publisherHealth Level Seven
                        .purpose
                          .statusdraft
                            .titleProblem Observation
                              .typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                .urlhttp://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation
                                  .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
                                  should-author: SHOULD contain author
                                  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
                                  should-author: SHOULD contain author
                                    ... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                      ... realmCode 0..*CS0..*CS
                                        ... typeId 0..1IIC0..1IIII-1: An II instance must have either a root or an nullFlavor.
                                        • StructureDefinition ProblemObservation has added constraint that is not found in ProblemObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
                                        .... 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??The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.0..1??The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions.
                                                          ... id 1..*II1..*II
                                                            ... code 1..1CDBinding: ?? (preferred)1..1CDBinding: ?? (preferred)
                                                            • Example/preferred bindings differ at Observation.code using binding from ProblemObservation
                                                            ... derivationExpr 0..1ST0..1ST
                                                              ... 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_TSIf the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.1..1IVL_TSIf the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved.
                                                                                                              .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                .... value 0..1??Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] 0..1??Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
                                                                                                                  .... operator 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                    .... low 1..1IVXB_TSThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.1..1IVXB_TSThe effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.
                                                                                                                      .... center 0..1TS0..1TS
                                                                                                                        .... width 0..1PQ0..1PQ
                                                                                                                          .... high 0..1IVXB_TS(USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved.0..1IVXB_TS𝗨𝗦𝗖𝗗𝗜: Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved.
                                                                                                                            ... priorityCode 0..1CEBinding: ?? (example)0..1CEBinding: ?? (example)
                                                                                                                              ... repeatNumber 0..1IVL_INT0..1IVL_INT
                                                                                                                                ... languageCode 0..1CSBinding: ?? (required)0..1CSBinding: ?? (required)
                                                                                                                                  ... value 1..1CD(USCDI) SDOH Problems/Health Concerns
                                                                                                                                  Binding: ?? (preferred)
                                                                                                                                  1..1CD𝗨𝗦𝗖𝗗𝗜: SDOH Problems/Health Concerns
                                                                                                                                  Binding: ?? (preferred)
                                                                                                                                    .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                      .... code 0..1??A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).
                                                                                                                                      Binding Description (No ValueSet): (example): See additional binding

                                                                                                                                      Additional BindingsPurposeDocumentation
                                                                                                                                      ??Preferred
                                                                                                                                      Social Determinant of Health Observations
                                                                                                                                      0..1??A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951).
                                                                                                                                      Binding Description (No ValueSet): (example): See additional binding

                                                                                                                                      Additional BindingsPurposeDocumentation
                                                                                                                                      ??Preferred
                                                                                                                                      Social Determinant of Health Observations
                                                                                                                                        .... 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..*CRThe observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.
                                                                                                                                                      0..*CRThe observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML.
                                                                                                                                                        .... translation 0..*CD0..*CD
                                                                                                                                                          ... interpretationCode 0..*CEBinding: ?? (required)
                                                                                                                                                          0..*CEBinding: ?? (required)
                                                                                                                                                            ... 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..*??Base for all types and resources
                                                                                                                                                                      0..*??Base for all types and resources
                                                                                                                                                                        ... informant 0..*Informant0..*Informant
                                                                                                                                                                          ... participant 0..*Participant20..*Participant2
                                                                                                                                                                            ... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:observation, profile:act
                                                                                                                                                                            0..*EntryRelationshipSlice: Unordered, Open by profile:observation, profile:act
                                                                                                                                                                              ... 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..*InfrastructureRoot0..*InfrastructureRoot
                                                                                                                                                                                      .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                                        .... realmCode 0..*CS0..*CS
                                                                                                                                                                                          .... typeId 0..1IIC0..1IIII-1: An II instance must have either a root or an nullFlavor.
                                                                                                                                                                                          • StructureDefinition ProblemObservation has added constraint that is not found in ProblemObservation and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists())
                                                                                                                                                                                          ..... 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 1..1ObservationRange1..1ObservationRange
                                                                                                                                                                                                          ... 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