## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab

Left: | US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab)
Right: | US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab)

### Messages

Error | StructureDefinition.version | Values for version differ: '3.1.1' vs '8.0.1'
Information | StructureDefinition.date | Values for date differ: '2019-05-21' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.definition | Values for definition differ: 'The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' vs 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.'
Warning | DiagnosticReport.meta | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | DiagnosticReport.language | Example/preferred bindings differ at DiagnosticReport.language using binding from USCoreDiagnosticReportProfileLaboratoryReporting
Information | StructureDefinition.comment | Values for comment differ: 'UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.' vs 'UsageNote= The typical patterns for codes are: 1) a LOINC code either as an additional coding from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC additional coding. Systems SHALL be capable of sending the local code if one exists.'
Information | StructureDefinition.short | Values for short differ: 'Health care event when test ordered' vs 'Encounter associated with DiagnosticReport'
Warning | DiagnosticReport.encounter | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Specimen Collection Datetime or Period' vs 'Diagnostically relevant time (typically the time of specimen collection)'
Information | StructureDefinition.definition | Values for definition differ: 'This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.' vs 'The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.'
Information | DiagnosticReport.effective[x] | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'DateTime this version was made' vs 'When the report was released'
Information | DiagnosticReport.issued | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Primary result interpreter' vs 'Who analyzed and reported the conclusions and interpretations'
Warning | DiagnosticReport.resultsInterpreter | Elements differ in definition for mustSupport: 'false' vs 'true'
Error | DiagnosticReport.result | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab]])

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/DiagnosticReport |
copyright |  | Used by permission of HL7 International, all rights reserved Creative Commons License | Added the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date | 2019-05-21 | 2023-10-17 | Values Differ
description | Defines constraints and extensions on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory results for a patient | The US Core DiagnosticReport Profile for Laboratory Results Reporting inherits from the FHIR [DiagnosticReport](https://hl7.org/fhir/R4/diagnosticreport.html) resource; refer to it for scope and usage definitions. Laboratory results are grouped and summarized using the DiagnosticReport resource, which typically references Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values or a nested panel (such as a microbial susceptibility panel) that references other observations. Laboratory results can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present 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] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreDiagnosticReportProfileLaboratoryReporting |
publisher | HL7 US Realm Steering Committee | HL7 International / Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | US Core DiagnosticReport Profile for Laboratory Results Reporting |
type | DiagnosticReport |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab |
version | 3.1.1 | 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
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | S Σ | 0..1 | Meta | Metadata about the resource | Elements differ in definition for mustSupport: 'false' vs 'true'
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
versionId |  |  |  |  | Σ | 0..1 | id | Version specific identifier | Added this element
lastUpdated |  |  |  |  | S Σ | 0..1 | instant | When the resource last changed | Added this element
source |  |  |  |  | Σ | 0..1 | uri | Identifies where the resource comes from | Added this element
profile |  |  |  |  | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | Added this element
security |  |  |  |  | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | Added this element
tag |  |  |  |  | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | Added this element
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 DiagnosticReport.language using binding from USCoreDiagnosticReportProfileLaboratoryReporting
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 report | Σ | 0..* | Identifier | Business identifier for report |
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested |
status | ?!S Σ | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required) | ?!S Σ C | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required) |
Slices for category | S Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections. | S Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: ?? (example): Codes for diagnostic service sections. |
code | S Σ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes | S Σ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | The subject of the report - usually, but not always, the patient | S Σ | 1..1 | Reference(US Core Patient Profile S | Group | Device | US Core Location Profile) | The subject of the report - usually, but not always, the patient |
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | S Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with DiagnosticReport | Elements differ in definition for mustSupport: 'false' vs 'true'
effective[x] | S Σ | 1..1 | dateTime, Period | Specimen Collection Datetime or Period | S Σ C | 0..1 | dateTime S, Period | Diagnostically relevant time (typically the time of specimen collection) | Element minimum cardinalities differ: '1' vs '0'
issued | S Σ | 1..1 | instant | DateTime this version was made | S Σ C | 0..1 | instant | When the report was released | Element minimum cardinalities differ: '1' vs '0'
performer | S Σ | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile) | Responsible Diagnostic Service | S Σ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile) | Responsible Diagnostic Service |
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | S Σ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | PractitionerRole | US Core CareTeam Profile) | Who analyzed and reported the conclusions and interpretations | Elements differ in definition for mustSupport: 'false' vs 'true'
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on |  | 0..* | Reference(Specimen) | Specimens this report is based on |
result | S | 0..* | Reference(US Core Laboratory Result Observation Profile) | Observations | S | 0..* | Reference(US Core Laboratory Result Observation Profile) | Observations | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab]])
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report |
media | Σ | 0..* | BackboneElement | Key images associated with this report | Σ | 0..* | BackboneElement | Key images associated with this report |
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 |
comment |  | 0..1 | string | Comment about the image (e.g. explanation) |  | 0..1 | string | Comment about the image (e.g. explanation) |
link | Σ | 1..1 | Reference(Media) | Reference to the image source | Σ | 1..1 | Reference(Media) | Reference to the image source |
conclusion |  | 0..1 | string | Clinical conclusion (interpretation) of test results |  | 0..1 | string | Clinical conclusion (interpretation) of test results |
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. |
presentedForm |  | 0..* | Attachment | Entire report as issued |  | 0..* | Attachment | Entire report as issued |
Documentation for this format