Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference

Left:US Core Treatment Intervention Preference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference)
Right:US Core Treatment Intervention Preference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference)

Messages

ErrorStructureDefinition.versionValues for version differ: '7.0.0' vs '10.0.0-ballot'
InformationObservation.languageExample/preferred bindings differ at Observation.language using binding from USCoreTreatmentInterventionPreferenceProfile
InformationObservation.categoryExample/preferred bindings differ at Observation.category using binding from USCoreTreatmentInterventionPreferenceProfile
ErrorObservation.subjectType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]])
InformationStructureDefinition.shortValues for short differ: 'Who is responsible for the observation' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who is responsible for the observation'
InformationObservation.referenceRange.typeExample/preferred bindings differ at Observation.referenceRange.type using binding from USCoreTreatmentInterventionPreferenceProfile
InformationStructureDefinition.commentValues for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.'

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
        date2023-11-02
          descriptionThe US Core Treatment Intervention Preference Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile provides guidance on how to record a treatment intervention preference expressed by the patient regarding their personal health goals, preferences, and priorities for medical treatments or interventions in the event of a future health scenario where a person is unable to make medical decisions because of a severe illness or injury. This profile does not represent an actual order, but it can guide caregivers and medical personnel about what is important for the person. This profile sets minimum expectations for the Observation resource to record, search, and fetch for patient treatment intervention preferences. 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.The US Core Treatment Intervention Preference Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile provides guidance on how to record a treatment intervention preference expressed by the patient regarding their personal health goals, preferences, and priorities for medical treatments or interventions in the event of a future health scenario where a person is unable to make medical decisions because of a severe illness or injury. This profile does not represent an actual order, but it can guide caregivers and medical personnel about what is important for the person. This profile sets minimum expectations for the Observation resource to record, search, and fetch for patient treatment intervention preferences. 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
          experimentalfalse
            fhirVersion4.0.1
              jurisdiction
                jurisdiction / jurisdiction[0]urn:iso:std:iso:3166#US
                  kindresource
                    nameUSCoreTreatmentInterventionPreferenceProfile
                      publisherHL7 International / Cross-Group Projects
                        purpose
                          statusactive
                            titleUS Core Treatment Intervention Preference Profile
                              typeObservation
                                urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference
                                  version7.0.010.0.0-ballot
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  Observation C0..*ObservationUS Core Treatment Intervention Preference Profile
                                  C0..*ObservationUS Core Treatment Intervention Preference Profile
                                    Observation.id This element is included in summaries. 0..1idLogical id of this artifact This element is included in summaries. 0..1idLogical id of this artifact
                                      Observation.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                                        Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
                                          Observation.language 0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.
                                          Additional BindingsPurpose
                                          ??Max Binding
                                          0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.
                                          Additional BindingsPurpose
                                          ??Max Binding
                                          • Example/preferred bindings differ at Observation.language using binding from USCoreTreatmentInterventionPreferenceProfile
                                          Observation.text 0..1NarrativeText 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..1NarrativeText summary of the resource, for human interpretation
                                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                            Observation.contained 0..*ResourceContained, inline Resources
                                            0..*ResourceContained, inline Resources
                                              Observation.extension 0..*ExtensionAdditional content defined by implementations
                                              0..*ExtensionAdditional content defined by implementations
                                                Observation.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                                This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                                  Observation.identifier This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                                  This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                                    Observation.basedOn This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                    This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                      Observation.partOf This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                      This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                        Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                                        Binding: ?? (required): Codes providing the status of an observation.
                                                        This element is a modifier element. This element must be supported. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                                        Binding: ?? (required): Codes providing the status of an observation.
                                                          Observation.Slices for category This element must be supported. 0..*CodeableConceptClassification of type of observation
                                                          Slice: Unordered, Open by pattern:$this
                                                          Binding: ?? (preferred): Codes for high level observation categories.

                                                          Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                          This element must be supported. 0..*CodeableConceptClassification of type of observation
                                                          Slice: Unordered, Open by value:$this
                                                          Binding: ?? (preferred): FHIR and US Core codes for high level observation categories.

                                                          Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                          • Example/preferred bindings differ at Observation.category using binding from USCoreTreatmentInterventionPreferenceProfile
                                                          Observation.code This element must be supported. This element is included in summaries. 1..1CodeableConceptTreatment intervention preferences code
                                                          Binding: ?? (example): Codes identifying names of simple observations.
                                                          Required Pattern:
                                                          {
                                                            "coding" : [
                                                              {
                                                                "system" : "http://loinc.org",
                                                                "code" : "75773-2"
                                                              }
                                                            ]
                                                          }
                                                          This element must be supported. This element is included in summaries. 1..1CodeableConceptTreatment intervention preferences code
                                                          Binding: ?? (example): Codes identifying names of simple observations.
                                                          Required Pattern:
                                                          {
                                                            "coding" : [
                                                              {
                                                                "system" : "http://loinc.org",
                                                                "code" : "75773-2"
                                                              }
                                                            ]
                                                          }
                                                            Observation.subject This element must be supported. This element is included in summaries. 1..1Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)Who and/or what the observation is about This element must be supported. This element is included in summaries. 1..1Reference(US Core Patient Profile)Who and/or what the observation is about
                                                            • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]])
                                                            Observation.focus This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                            This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                              Observation.encounter This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made
                                                                Observation.effective[x] This element must be supported. This element is included in summaries. 0..1dateTime This type must be supported. , Period, Timing, instantClinically relevant time/time-period for observation This element must be supported. This element is included in summaries. 0..1dateTime This type must be supported. , Period, Timing, instantClinically relevant time/time-period for observation
                                                                  Observation.issued This element is included in summaries. 0..1instantDate/Time this version was made available This element is included in summaries. 0..1instantDate/Time this version was made available
                                                                    Observation.performer This element is included in summaries. 0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                    This element is included in summaries. 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
                                                                      Observation.value[x] This element must be supported. This element is included in summaries. C0..1string This type must be supported. , CodeableConcept This type must be supported. , Quantity, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result This element must be supported. This element is included in summaries. C0..1string This type must be supported. , CodeableConcept This type must be supported. , Quantity, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                                        Observation.dataAbsentReason C0..1CodeableConceptWhy the result is missing
                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                        C0..1CodeableConceptWhy the result is missing
                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                          Observation.interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                          0..*CodeableConceptHigh, low, normal, etc.
                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                            Observation.note 0..*AnnotationComments about the observation
                                                                            0..*AnnotationComments about the observation
                                                                              Observation.bodySite 0..1CodeableConceptObserved body part
                                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                              0..1CodeableConceptObserved body part
                                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                                Observation.method 0..1CodeableConceptHow it was done
                                                                                Binding: ?? (example): Methods for simple observations.
                                                                                0..1CodeableConceptHow it was done
                                                                                Binding: ?? (example): Methods for simple observations.
                                                                                  Observation.specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                                                    Observation.device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                                      Observation.referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                                      C0..*BackboneElementProvides guide for interpretation
                                                                                        Observation.referenceRange.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                          Observation.referenceRange.extension 0..*ExtensionAdditional content defined by implementations
                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                            Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                            This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                              Observation.referenceRange.low C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellLow Range, if relevantC0..1??Low Range, if relevant
                                                                                                Observation.referenceRange.high C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellHigh Range, if relevantC0..1??High Range, if relevant
                                                                                                  Observation.referenceRange.type 0..1CodeableConceptReference range qualifier
                                                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                  0..1CodeableConceptReference range qualifier
                                                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                  • Example/preferred bindings differ at Observation.referenceRange.type using binding from USCoreTreatmentInterventionPreferenceProfile
                                                                                                  Observation.referenceRange.appliesTo 0..*CodeableConceptReference range population
                                                                                                  Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                  0..*CodeableConceptReference range population
                                                                                                  Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                    Observation.referenceRange.age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                                      Observation.referenceRange.text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                                        Observation.hasMember This element is included in summaries. 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                        This element is included in summaries. 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                          Observation.derivedFrom This element is included in summaries. 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                          This element is included in summaries. 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                            Observation.component This element is included in summaries. 0..*BackboneElementComponent results
                                                                                                            This element is included in summaries. 0..*BackboneElementComponent results
                                                                                                              Observation.component.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                Observation.component.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                  Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                  This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                    Observation.component.code This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                                    Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                                    This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                                    Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                                      Observation.component.value[x] This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                                        Observation.component.dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                        C0..1CodeableConceptWhy the component result is missing
                                                                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                          Observation.component.interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                          0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                            Observation.component.referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                                            0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                                              doco Documentation for this format