Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note

Left:DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
Right:US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note'
ErrorStructureDefinition.versionValues for version differ: '2.0.1' vs '10.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'DiagnosticReportUvIps' vs 'USCoreDiagnosticReportProfileNoteExchange'
InformationStructureDefinition.titleValues for title differ: 'DiagnosticReport (IPS)' vs 'US Core DiagnosticReport Profile for Report and Note Exchange'
InformationStructureDefinition.dateValues for date differ: '2024-06-19T10:50:07-05:00' vs '2023-10-17'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'urn:iso:std:iso:3166#US'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1' vs 'http://hl7.org/fhir/StructureDefinition/DiagnosticReport'
InformationStructureDefinition.shortValues for short differ: 'Business identifier for report' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Business identifier for report'
InformationStructureDefinition.commentValues for comment differ: 'Usually assigned by the Information System of the diagnostic service provider (filler id).' vs 'A business identifier such as an accession number can be used to locate the report and the source images in external systems.'
InformationStructureDefinition.shortValues for short differ: 'What was requested' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: What was requested'
InformationStructureDefinition.commentValues for comment differ: 'Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.' vs 'Imaging identifiers such as the accession number originate with the order. The reference to the order connects the order, the report, and the imaging study.'
ErrorDiagnosticReport.basedOnType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-nutritionorder]])
WarningDiagnosticReport.statusElements differ in definition for mustSupport: 'false' vs 'true'
WarningDiagnosticReport.categoryElements differ in definition for mustSupport: 'false' vs 'true'
InformationDiagnosticReport.categoryElement minimum cardinalities differ: '0' vs '1'
InformationStructureDefinition.shortValues for short differ: 'Name/Code for this diagnostic report' vs 'US Core Report Code'
InformationStructureDefinition.definitionValues for definition differ: 'A code or name that describes this diagnostic report.' vs 'The test, panel, report, or note that was ordered.'
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: 'Clinically relevant time/time-period for report' vs 'Diagnostically relevant time (typically the time of the procedure)'
InformationDiagnosticReport.effective[x]Element minimum cardinalities differ: '1' vs '0'
WarningDiagnosticReport.issuedElements differ in definition for mustSupport: 'false' vs 'true'
WarningDiagnosticReport.resultsInterpreterElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Observation results included in the diagnostic report.' vs 'Observations'
InformationStructureDefinition.definitionValues for definition differ: 'Observation results included in the diagnostic report.' vs '[Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report.'
WarningDiagnosticReport.resultElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.shortValues for short differ: 'Reference to full details of imaging associated with the diagnostic report' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reference to full details of imaging associated with the diagnostic report'
InformationStructureDefinition.commentValues for comment differ: 'ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.' vs 'The reference to the imaging study is the principal way this profile meets the USCDI Diagnostic Imaging Reference data element. The reference is profiled only to the Reference level; the identifier sub-element is not profiled.'
InformationStructureDefinition.shortValues for short differ: 'Key images associated with this report' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Key images associated with this report'
InformationStructureDefinition.shortValues for short differ: 'Reference to the image source' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reference to the image source'
WarningDiagnosticReport.presentedFormElements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    • Values Differ
    copyright
      date2024-06-19T10:50:07-05:002023-10-17
      • Values Differ
      descriptionThis profile constrains the DiagnosticReport resource to represent diagnostic test and procedure reports in a patient summary.The US Core DiagnosticReport Profile for Report and Note Exchange inherits from the FHIR [DiagnosticReport](https://hl7.org/fhir/R4/diagnosticreport.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for searching and fetching Diagnostic Reports and Notes using the DiagnosticReport resource. 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. Before reviewing this profile, implementers are encouraged to read the Clinical Notes Guidance to understand the overlap of the US Core DiagnosticReport Profile for Report and Note exchange and the US Core DocumentReference Profile.
      • Values Differ
      experimentalfalse
      • Removed the item 'false'
      fhirVersion4.0.1
        jurisdiction
          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 / jurisdiction[1]urn:iso:std:iso:3166#US
          • Added the item 'urn:iso:std:iso:3166#US'
          kindresource
            nameDiagnosticReportUvIpsUSCoreDiagnosticReportProfileNoteExchange
            • Values Differ
            publisherHL7 International / Patient CareHL7 International / Cross-Group Projects
            • Values Differ
            purposeThis profile constrains the DiagnosticReport resource to use the specific IPS profiles for observations and coded data types.
            • Removed the item 'This profile constrains the DiagnosticReport resource to use the specific IPS profiles for observations and coded data types.'
            statusactive
              titleDiagnosticReport (IPS)US Core DiagnosticReport Profile for Report and Note Exchange
              • Values Differ
              typeDiagnosticReport
                urlhttp://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ipshttp://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
                • Values Differ
                version2.0.110.0.0-ballot
                • Values Differ

                Structure

                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                DiagnosticReport 0..*DiagnosticReport(4.0.1)A 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
                Constraints: us-core-10
                  DiagnosticReport.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
                    DiagnosticReport.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                      DiagnosticReport.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
                        DiagnosticReport.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
                          DiagnosticReport.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
                            DiagnosticReport.contained 0..*ResourceContained, inline Resources
                            0..*ResourceContained, inline Resources
                              DiagnosticReport.extension 0..*ExtensionAdditional content defined by implementations
                              0..*ExtensionAdditional content defined by implementations
                                DiagnosticReport.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
                                  DiagnosticReport.identifier This element is included in summaries. 0..*IdentifierBusiness identifier for report
                                  This element is included in summaries. 0..*Identifier𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Business identifier for report
                                    DiagnosticReport.basedOn 0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
                                    0..*Reference(US Core ServiceRequest Profile | US Core CarePlan Profile | ImmunizationRecommendation | US Core MedicationRequest Profile | US Core NutritionOrder Profile)𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: What was requested
                                    • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-nutritionorder]])
                                    DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1coderegistered | partial | preliminary | final +
                                    Binding: ?? (required)
                                    This element is a modifier element. This element must be supported. This element is included in summaries. C1..1coderegistered | partial | preliminary | final +
                                    Binding: ?? (required)
                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                    DiagnosticReport.category This element is included in summaries. 0..*CodeableConceptService category
                                    Binding: ?? (example): Codes for diagnostic service sections.
                                    This element must be supported. This element is included in summaries. 1..*CodeableConceptService category
                                    Slice: Unordered, Open by value:$this
                                    Binding: ?? (example): Codes for diagnostic service sections.

                                    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                    • Element minimum cardinalities differ: '0' vs '1'
                                    DiagnosticReport.code This element has obligations and must be supported. This element is included in summaries. 1..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 wellName/Code for this diagnostic report
                                    Binding: ?? (preferred): Codes that describe Diagnostic Reports.
                                    ObligationsActor
                                    SHALL:populate-if-knownCreator (IPS)
                                    SHALL:handleConsumer (IPS)
                                    SHOULD:displayConsumer (IPS)
                                    This element must be supported. This element is included in summaries. 1..1CodeableConceptUS Core Report Code
                                    Binding: ?? (extensible): LOINC codes
                                      DiagnosticReport.subject This element has obligations and must be supported. This element is included in summaries. 1..1Reference(Patient (IPS)(2.0.1) | Group)The subject of the report - usually, but not always, the patient
                                      ObligationsActor
                                      SHALL:populate-if-knownCreator (IPS)
                                      SHALL:handleConsumer (IPS)
                                      SHOULD:displayConsumer (IPS)
                                      This element must be supported. This element is included in summaries. 1..1Reference(US Core Patient Profile This type must be supported. | Group | US Core Device Profile | US Core Location Profile)The subject of the report - usually, but not always, the patient
                                        DiagnosticReport.subject.id 0..1stringUnique id for inter-element referencing
                                        • Removed this element
                                        DiagnosticReport.subject.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                        Slice: Unordered, Open by value:url
                                        • Removed this element
                                        DiagnosticReport.subject.reference This element has obligations and must be supported. This element is included in summaries. C1..1stringLiteral reference, Relative, internal or absolute URL
                                        ObligationsActor
                                        SHALL:populate-if-knownCreator (IPS)
                                        SHALL:handleConsumer (IPS)
                                        • Removed this element
                                        DiagnosticReport.subject.type This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                        Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                        • Removed this element
                                        DiagnosticReport.subject.identifier This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known
                                        • Removed this element
                                        DiagnosticReport.subject.display This element is included in summaries. 0..1stringText alternative for the resource
                                        • Removed this element
                                        DiagnosticReport.encounter This element is included in summaries. 0..1Reference(Encounter)Health care event when test ordered This element must be supported. This element is included in summaries. 0..1Reference(US Core Encounter Profile)Encounter associated with DiagnosticReport
                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                        DiagnosticReport.Slices for effective[x] This element has obligations and must be supported. This element is included in summaries. 1..1dateTime, PeriodClinically relevant time/time-period for report
                                        Slice: Unordered, Open by type:$this
                                        ObligationsActor
                                        SHALL:populate-if-knownCreator (IPS)
                                        SHALL:handleConsumer (IPS)
                                        SHOULD:displayConsumer (IPS)

                                        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. This element is included in summaries. C0..1dateTime This type must be supported. , PeriodDiagnostically relevant time (typically the time of the procedure)
                                        • Element minimum cardinalities differ: '1' vs '0'
                                        DiagnosticReport.issued This element is included in summaries. 0..1instantDateTime this version was made This element must be supported. This element is included in summaries. 0..1instantDateTime this version was made
                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                        DiagnosticReport.performer This element has obligations and must be supported. This element is included in summaries. 0..*Reference(Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1) | CareTeam)Responsible Diagnostic Service
                                        ObligationsActor
                                        SHALL:populate-if-knownCreator (IPS)
                                        SHALL:handleConsumer (IPS)
                                        SHOULD:displayConsumer (IPS)
                                        This element must be supported. This element is included in summaries. 0..*Reference(US Core Practitioner Profile This type must be supported. | US Core Organization Profile This type must be supported. | US Core PractitionerRole Profile | US Core CareTeam Profile)Responsible Diagnostic Service
                                          DiagnosticReport.resultsInterpreter This element is included in summaries. 0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                          This element must be supported. This element is included in summaries. 0..*Reference(US Core Practitioner Profile This type must be supported. | US Core Organization Profile | PractitionerRole | US Core CareTeam Profile)Primary result interpreter
                                          • Elements differ in definition for mustSupport: 'false' vs 'true'
                                          DiagnosticReport.specimen 0..*Reference(Specimen (IPS)(2.0.1))Specimens this report is based on
                                          0..*Reference(Specimen)Specimens this report is based on
                                            DiagnosticReport.Slices for result 0..*Reference(Observation)Observation results included in the diagnostic report.
                                            Slice: Unordered, Open by profile:resolve()
                                            This element must be supported. 0..*Reference(US Core Observation Clinical Result Profile This type must be supported. | US Core Laboratory Result Observation Profile | Observation)Observations
                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                            DiagnosticReport.imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
                                            0..*Reference(US Core ImagingStudy Profile)𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reference to full details of imaging associated with the diagnostic report
                                              DiagnosticReport.media This element is included in summaries. 0..*BackboneElementKey images associated with this report
                                              This element is included in summaries. 0..*BackboneElement𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Key images associated with this report
                                                DiagnosticReport.media.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                  DiagnosticReport.media.extension 0..*ExtensionAdditional content defined by implementations
                                                  0..*ExtensionAdditional content defined by implementations
                                                    DiagnosticReport.media.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
                                                      DiagnosticReport.media.comment 0..1stringComment about the image (e.g. explanation)0..1stringComment about the image (e.g. explanation)
                                                        DiagnosticReport.media.link This element is included in summaries. 1..1Reference(Media)Reference to the image source This element is included in summaries. 1..1Reference(Media)𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reference to the image source
                                                          DiagnosticReport.conclusion 0..1stringClinical conclusion (interpretation) of test results0..1stringClinical conclusion (interpretation) of test results
                                                            DiagnosticReport.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.
                                                              DiagnosticReport.presentedForm 0..*AttachmentEntire report as issued
                                                              This element must be supported. 0..*AttachmentEntire report as issued
                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'

                                                              doco Documentation for this format