Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry

Left:US Core Pulse Oximetry Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry)
Right:US Core Pulse Oximetry Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.0.0' vs '7.0.0'
InformationStructureDefinition.dateValues for date differ: '2020-11-18' vs '2023-10-17'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.definitionValues for definition differ: 'Defines constraints on the Observation resource to represent inspired O2 by pulse oximetry and inspired oxygen concentration observations with a standard LOINC codes and UCUM units of measure. This profile is derived from the US Core Vital Signs Profile.' vs 'The FHIR Vitals Signs profile sets minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient.'
InformationObservation.code.codingElement minimum cardinalities differ: '0' vs '2'
InformationStructureDefinition.shortValues for short differ: 'Type of component observation (code / type)' vs 'Coded vital sign result type'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
        .date2020-11-182023-10-17
        • Values Differ
        .descriptionDefines constraints on the Observation resource to represent inspired O2 by pulse oximetry and inspired oxygen concentration observations with a standard LOINC codes and UCUM units of measure. This profile is derived from the US Core Vital Signs Profile.To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch pulse oximetry and inspired oxygen observations with a standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.
        • Values Differ
        .experimentalfalse
          .fhirVersion4.0.1
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
                .kindresource
                  .nameUSCorePulseOximetryProfile
                    .publisherHL7 International - US Realm Steering CommitteeHL7 International / Cross-Group Projects
                    • Values Differ
                    .purpose
                      .statusactive
                        .titleUS Core Pulse Oximetry Profile
                          .typeObservation
                            .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry
                              .version4.0.07.0.0
                              • Values Differ

                              Structure

                              NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                              .. Observation C0..*USCoreVitalSignsProfileUS Core Pulse Oximetry Profile
                              obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                              obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                              vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
                              C0..*USCoreVitalSignsProfileUS Core Pulse Oximetry Profile
                              obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                              obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                              vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
                                ... id Σ0..1stringLogical id of this artifactΣ0..1idLogical id of this artifact
                                  ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                    ... 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 observation
                                                Σ0..*IdentifierBusiness Identifier for observation
                                                  ... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                  Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                    ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                    Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                      ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                                      Binding: ?? (required)
                                                      ?!SΣ1..1coderegistered | preliminary | final | amended +
                                                      Binding: ?? (required)
                                                        ... Slices for category S1..*CodeableConceptClassification of type of observation
                                                        Slice: Unordered, Open by value:coding.code, value:coding.system
                                                        Binding: ?? (preferred): Codes for high level observation categories.


                                                        S1..*CodeableConceptClassification of type of observation
                                                        Slice: Unordered, Open by value:coding.code, value:coding.system
                                                        Binding: ?? (preferred): Codes for high level observation categories.


                                                          ... code SΣ1..1CodeableConceptOxygen Saturation by Pulse Oximetry
                                                          Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

                                                          SΣ1..1CodeableConceptOxygen Saturation by Pulse Oximetry
                                                          Binding: ?? (extensible): Vital sign result types

                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                              Slice: Unordered, Open by value:url
                                                              0..*ExtensionAdditional content defined by implementations
                                                              Slice: Unordered, Open by value:url
                                                                .... Slices for coding SΣ0..*CodingCode defined by a terminology system
                                                                Slice: Unordered, Open by pattern:$this
                                                                SΣ2..*CodingCode defined by a terminology system
                                                                Slice: Unordered, Open by pattern:$this
                                                                • Element minimum cardinalities differ: '0' vs '2'
                                                                .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                                                  ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
                                                                    ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                    Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                      ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                                        ... effective[x] SΣC1..1dateTime S, PeriodOften just a dateTime for Vital Signs
                                                                        vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
                                                                        SΣC1..1dateTime S, PeriodOften just a dateTime for Vital Signs
                                                                        vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
                                                                          ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                                            ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                            Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                              ... value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Signs Value
                                                                              Binding: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                                              SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Signs Value
                                                                              Slice: Unordered, Open by type:$this
                                                                              Binding: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                                                ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                                                Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                SC0..1CodeableConceptWhy the result is missing
                                                                                Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                  ... 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.


                                                                                    ... note 0..*AnnotationComments about the observation
                                                                                    0..*AnnotationComments about the 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.

                                                                                        ... method 0..1CodeableConceptHow it was done
                                                                                        Binding: ?? (example): Methods for simple observations.

                                                                                        0..1CodeableConceptHow it was done
                                                                                        Binding: ?? (example): Methods for simple observations.

                                                                                          ... specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                                                            ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                                              ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                                              obs-3: Must have at least a low or a high or text
                                                                                              C0..*BackboneElementProvides guide for interpretation
                                                                                              obs-3: Must have at least a low or a high or text
                                                                                                .... 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
                                                                                                      .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                                                        .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                                                          .... 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.

                                                                                                            .... 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.


                                                                                                              .... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                                                .... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                                                  ... hasMember Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                                                  Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                                                    ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                                                                    Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                                                                      ... Slices for component SΣC0..*BackboneElementUsed when reporting flow rates or oxygen concentration.
                                                                                                                      Slice: Unordered, Open by pattern:code
                                                                                                                      vs-3: If there is no a value a data absent reason must be present
                                                                                                                      SΣC0..*BackboneElementUsed when reporting flow rates or oxygen concentration.
                                                                                                                      Slice: Unordered, Open by pattern:code
                                                                                                                      vs-3: If there is no a value a data absent reason must be present
                                                                                                                        .... 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
                                                                                                                              .... code SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                                                              Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

                                                                                                                              SΣ1..1CodeableConceptCoded vital sign result type
                                                                                                                              Binding: ?? (extensible): Vital sign result types

                                                                                                                                .... value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component Value
                                                                                                                                Binding: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                                                                                                SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component Value
                                                                                                                                Binding: ?? (extensible): Common UCUM units for recording Vital Signs.

                                                                                                                                  .... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
                                                                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                                                  SC0..1CodeableConceptWhy the component result is missing
                                                                                                                                  Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                                                    .... 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.


                                                                                                                                      .... 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