## Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent

Left: | IPA-Observation (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation)
Right: | US Core Observation Pregnancy Intent Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent'
Error | StructureDefinition.version | Values for version differ: '1.1.0' vs '8.0.1'
Information | StructureDefinition.name | Values for name differ: 'IPAObservation' vs 'USCoreObservationPregnancyIntentProfile'
Information | StructureDefinition.title | Values for title differ: 'IPA-Observation' vs 'US Core Observation Pregnancy Intent Profile'
Information | StructureDefinition.date | Values for date differ: '2022-08-02' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.copyright | Values for copyright differ: 'Used by permission of HL7 International all rights reserved Creative Commons License' vs 'Used by permission of HL7 International, all rights reserved Creative Commons License'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#US'
Information | Observation.language | Example/preferred bindings differ at Observation.language using binding from IPAObservation
Information | Observation.category | Example/preferred bindings differ at Observation.category using binding from IPAObservation
Information | StructureDefinition.short | Values for short differ: 'Type of observation (code / type)' vs 'Pregnancy Status'
Warning | Observation.effective[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.effective[x] | Element minimum cardinalities differ: '0' vs '1'
Information | StructureDefinition.short | Values for short differ: 'Who is responsible for the observation' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who is responsible for the observation'
Warning | Observation.value[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.value[x] | Element minimum cardinalities differ: '0' vs '1'
Warning | Observation.dataAbsentReason | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.referenceRange.type | Example/preferred bindings differ at Observation.referenceRange.type using binding from IPAObservation

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation |
copyright | Used by permission of HL7 International all rights reserved Creative Commons License | Used by permission of HL7 International, all rights reserved Creative Commons License | Values Differ
date | 2022-08-02 | 2023-10-17 | Values Differ
description | Minimum expectations for an Observation resource when accessed via a International Patient Access API | The US Core Observation Pregnancy Intent Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Pregnancy Status* Data Element. This profile sets minimum expectations for the Observation resource to record, search, and fetch the patient's intention to become pregnant. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
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#US | Added the item 'urn:iso:std:iso:3166#US'
kind | resource |
name | IPAObservation | USCoreObservationPregnancyIntentProfile | Values Differ
publisher | HL7 International / Patient Care | HL7 International / Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | IPA-Observation | US Core Observation Pregnancy Intent Profile | Values Differ
type | Observation |
url | http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent | Values Differ
version | 1.1.0 | 8.0.1 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: ipa-obs-1 | C | 0..* | Observation | Measurements and simple assertions |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Observation.language using binding from IPAObservation
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation |
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!SO Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation.
Obligations | Actor
SHALL:populate-if-known | Server
SHALL:handle | Client
| ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. |
category | SO | 0..* | CodeableConcept | Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories.
Obligations | Actor
SHALL:populate-if-known | Server
SHOULD:handle | Client
| S | 0..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:$this Binding: ?? (preferred): Codes for high level observation categories. | Example/preferred bindings differ at Observation.category using binding from IPAObservation
code | SO Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: ?? (example): Codes identifying names of simple observations.
Obligations | Actor
SHALL:populate-if-known | Server
SHALL:handle | Client
| S Σ | 1..1 | CodeableConcept | Pregnancy Status Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"86645-9"}]} |
subject | SO Σ | 1..1 | Reference(IPA-Patient) | Who and/or what the observation is about
Obligations | Actor
SHALL:populate-if-known | Server
SHALL:handle | Client
| S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about |
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | SO Σ | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation
Obligations | Actor
SHALL:populate-if-known | Server
SHALL:handle | Client
| Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | Σ | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who is responsible for the observation |
value[x] | SO Σ C | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
Obligations | Actor
SHALL:populate-if-known | Server
SHALL:handle | Client
| Σ C | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
dataAbsentReason | SO C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Obligations | Actor
SHALL:populate-if-known | Server
SHALL:handle | Client
| C | 0..1 | CodeableConcept | Why 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..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |
note |  | 0..* | Annotation | Comments about the observation |  | 0..* | Annotation | Comments about the observation |
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. |  | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. |
method |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. |
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation |  | 0..1 | Reference(Specimen) | Specimen used for this observation |
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | C | 0..* | BackboneElement | Provides guide for interpretation |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant |
high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant |
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. | Example/preferred bindings differ at Observation.referenceRange.type using binding from IPAObservation
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |
age |  | 0..1 | Range | Applicable age range, if relevant |  | 0..1 | Range | Applicable age range, if relevant |
text |  | 0..1 | string | Text based reference range in an observation |  | 0..1 | string | Text based reference range in an observation |
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | Σ | 0..* | BackboneElement | Component results | Σ | 0..* | BackboneElement | Component results |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. |
value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, 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 |
Documentation for this format