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

ErrorStructureDefinition.versionValues for version differ: '3.1.1' vs '7.0.0'
InformationStructureDefinition.dateValues for date differ: '2019-05-21' vs '2023-10-17'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.definitionValues 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.'
WarningDiagnosticReport.metaElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Health care event when test ordered' vs 'Encounter associated with DiagnosticReport'
WarningDiagnosticReport.encounterElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Specimen Collection Datetime or Period' vs 'Diagnostically relevant time (typically the time of specimen collection)'
InformationStructureDefinition.definitionValues 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.'
InformationDiagnosticReport.effective[x]Element minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'DateTime this version was made' vs 'When the report was released'
InformationDiagnosticReport.issuedElement minimum cardinalities differ: '1' vs '0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DiagnosticReport
      .copyrightUsed 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'
      .date2019-05-212023-10-17
      • Values Differ
      .descriptionDefines 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 patientThe 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
      .experimentalfalse
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreDiagnosticReportProfileLaboratoryReporting
                  .publisherHL7 US Realm Steering CommitteeHL7 International / Cross-Group Projects
                  • Values Differ
                  .purpose
                    .statusactive
                      .titleUS Core DiagnosticReport Profile for Laboratory Results Reporting
                        .typeDiagnosticReport
                          .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
                            .version3.1.17.0.0
                            • Values Differ

                            Structure

                            NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                            .. DiagnosticReport 0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                            C0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                            us-core-8: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'
                            us-core-9: issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'
                              ... id Σ0..1stringLogical id of this artifactΣ0..1idLogical id of this artifact
                                ... meta Σ0..1MetaMetadata about the resourceSΣ0..1MetaMetadata about the resource
                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                .... id 0..1stringUnique id for inter-element referencing
                                • Added this element
                                .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                Slice: Unordered, Open by value:url
                                • Added this element
                                .... versionId Σ0..1idVersion specific identifier
                                • Added this element
                                .... lastUpdated SΣ0..1instantWhen the resource last changed
                                • Added this element
                                .... source Σ0..1uriIdentifies where the resource comes from
                                • Added this element
                                .... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
                                • Added this element
                                .... security Σ0..*CodingSecurity Labels applied to this resource
                                Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


                                • Added this element
                                .... tag Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                  ... 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
                                    ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                      ... contained 0..*ResourceContained, inline Resources
                                      0..*ResourceContained, inline Resources
                                        ... extension 0..*ExtensionAdditional content defined by implementations
                                        0..*ExtensionAdditional content defined by implementations
                                          ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                          ?!0..*ExtensionExtensions that cannot be ignored
                                            ... identifier Σ0..*IdentifierBusiness identifier for report
                                            Σ0..*IdentifierBusiness 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 ?!SΣ1..1coderegistered | partial | preliminary | final +
                                                Binding: ?? (required)
                                                ?!SΣC1..1coderegistered | partial | preliminary | final +
                                                Binding: ?? (required)
                                                  ... Slices for category SΣ1..*CodeableConceptService category
                                                  Slice: Unordered, Open by pattern:$this
                                                  Binding: ?? (example): Codes for diagnostic service sections.


                                                  SΣ1..*CodeableConceptService category
                                                  Slice: Unordered, Open by pattern:$this
                                                  Binding: ?? (example): Codes for diagnostic service sections.


                                                    ... code SΣ1..1CodeableConceptUS Core Laboratory Report Order Code
                                                    Binding: ?? (extensible): LOINC codes

                                                    SΣ1..1CodeableConceptUS Core Laboratory Report Order Code
                                                    Binding: ?? (extensible): LOINC codes

                                                      ... subject SΣ1..1Reference(US Core Patient Profile)The subject of the report - usually, but not always, the patientSΣ1..1Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)The subject of the report - usually, but not always, the patient
                                                        ... encounter Σ0..1Reference(Encounter)Health care event when test orderedSΣ0..1Reference(US Core Encounter Profile)Encounter associated with DiagnosticReport
                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                        ... effective[x] SΣ1..1dateTime, PeriodSpecimen Collection Datetime or PeriodSΣC0..1dateTime S, PeriodDiagnostically relevant time (typically the time of specimen collection)
                                                        • Element minimum cardinalities differ: '1' vs '0'
                                                        ... issued SΣ1..1instantDateTime this version was madeSΣC0..1instantWhen the report was released
                                                        • Element minimum cardinalities differ: '1' vs '0'
                                                        ... performer SΣ0..*Reference(US Core Practitioner Profile | US Core Organization Profile)Responsible Diagnostic Service
                                                        SΣ0..*Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile)Responsible Diagnostic Service
                                                          ... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                                          Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                                            ... specimen 0..*Reference(Specimen)Specimens this report is based on
                                                            0..*Reference(Specimen)Specimens this report is based on
                                                              ... result S0..*Reference(US Core Laboratory Result Observation Profile)Observations
                                                              S0..*Reference(US Core Laboratory Result Observation Profile)Observations
                                                                ... 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 Σ0..*BackboneElementKey images associated with this report
                                                                  Σ0..*BackboneElementKey images associated with this report
                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                      0..*ExtensionAdditional content defined by implementations
                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                          .... comment 0..1stringComment about the image (e.g. explanation)0..1stringComment about the image (e.g. explanation)
                                                                            .... link Σ1..1Reference(Media)Reference to the image sourceΣ1..1Reference(Media)Reference to the image source
                                                                              ... conclusion 0..1stringClinical conclusion (interpretation) of test results0..1stringClinical conclusion (interpretation) of test results
                                                                                ... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
                                                                                Binding: ?? (example): Diagnosis codes provided as adjuncts to the report.


                                                                                0..*CodeableConceptCodes for the clinical conclusion of test results
                                                                                Binding: ?? (example): Diagnosis codes provided as adjuncts to the report.


                                                                                  ... presentedForm 0..*AttachmentEntire report as issued
                                                                                  0..*AttachmentEntire report as issued

                                                                                    doco Documentation for this format