Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result vs http://hl7.org/fhir/us/cardx-htn/StructureDefinition/min-blood-pressure-panel

Left:US Core Observation Clinical Result Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result)
Right:Minimum Blood Pressure Panel (http://hl7.org/fhir/us/cardx-htn/StructureDefinition/min-blood-pressure-panel)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result' vs 'http://hl7.org/fhir/us/cardx-htn/StructureDefinition/min-blood-pressure-panel'
ErrorStructureDefinition.versionValues for version differ: '6.1.0' vs '0.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationClinicalResultProfile' vs 'MinimumBloodPressurePanel'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Clinical Result Profile' vs 'Minimum Blood Pressure Panel'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2023-08-03T21:36:59+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'Clinical Interoperability Council'
InformationStructureDefinition.jurisdictionRemoved the item 'urn:iso:std:iso:3166#US'
WarningObservationElements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.'
WarningObservation.statusElements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
WarningObservation.categoryElements differ in short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
WarningObservation.codeElements differ in short: '(USCDI) Clinical Test or Procedure Name' vs 'Type of observation (code / type)'
WarningObservation.codeElements differ in definition: 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.' vs '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.subjectElements differ in short: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
WarningObservation.effective[x]Elements differ in short: '(USCDI) Clinically relevant time/time-period for observation' vs 'Clinically relevant time/time-period for observation'
InformationObservation.effective[x]Element minimum cardinalities differ: '0' vs '1'
WarningObservation.value[x]Elements differ in short: '(USCDI) Result Value' vs 'Actual result'
WarningObservation.value[x]Elements differ in definition: 'The clinical test or procedure result value. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.value[x]Element maximum cardinalities differ: '1' vs '0'
WarningObservation.dataAbsentReasonElements differ in short: '(USCDI) Why the result is missing' vs 'Why the result is missing'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.componentElements differ in short: 'Component results' vs 'Blood pressure components'
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.componentElement minimum cardinalities differ: '0' vs '2'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
      • Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
      .date2022-04-202023-08-03T21:36:59+00:00
      • Values Differ
      .descriptionThe US Core Observation Clinical Result Profile is based upon the core FHIR Observation Resource and, along with the US Core DiagnosticReport Profile, meets the US Core Data for Interoperability (USCDI) requirements for *Diagnostic Imaging* and *Clinical Tests* Data Classes. This profile sets minimum expectations for the Observation resource to record and search non-laboratory clinical test results (e.g., radiology and other clinical observations generated from procedures). An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy. This profile is the basis for the US Core Laboratory Result Observation Profile, which defines additional data elements to record and search laboratory test results. The US Core Observation Clinical Result Profile sets minimum expectations to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.The lowest measured systolic and diastolic blood pressures measured during a given time frame.
      • Values Differ
      .experimental
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
            • Removed the item 'urn:iso:std:iso:3166#US'
            .kindresource
              .nameUSCoreObservationClinicalResultProfileMinimumBloodPressurePanel
              • Values Differ
              .publisherHL7 International - Cross-Group ProjectsClinical Interoperability Council
              • Values Differ
              .purpose
                .statusactivedraft
                • Values Differ
                .titleUS Core Observation Clinical Result ProfileMinimum Blood Pressure Panel
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-resulthttp://hl7.org/fhir/us/cardx-htn/StructureDefinition/min-blood-pressure-panel
                  • Values Differ
                  .version6.1.00.1.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation C0..*ObservationMeasurements and simple assertions
                  us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                  C0..*ObservationMeasurements and simple assertions
                  • Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                  • Elements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.'
                  ... id Σ0..1idLogical 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..1code(USCDI) registered | preliminary | final | amended +
                                        Binding: ?? (required): Codes providing the status of an observation.

                                        ?!SΣ1..1coderegistered | preliminary | final | amended +
                                        Binding: ?? (required): Codes providing the status of an observation.

                                        • Elements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
                                        ... Slices for category S1..*CodeableConcept(USCDI) Classification of type of observation
                                        Slice: Unordered, Open by pattern:$this
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        0..*CodeableConceptClassification of type of observation
                                        Binding: ?? (preferred): Codes for high level observation categories.


                                        • Elements differ in short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation'
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element minimum cardinalities differ: '1' vs '0'
                                        ... code SΣ1..1CodeableConcept(USCDI) Clinical Test or Procedure Name
                                        Binding: ?? (extensible)
                                        Σ1..1CodeableConceptType of observation (code / type)
                                        Binding: ?? (example): Codes identifying names of simple observations.

                                        • Elements differ in short: '(USCDI) Clinical Test or Procedure Name' vs 'Type of observation (code / type)'
                                        • Elements differ in definition: 'The name of the clinical test or procedure performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.' vs 'Describes what was observed. Sometimes this is called the observation "name".'
                                        • Elements differ in comments: 'The typical patterns for codes are: 1) a LOINC code either as a translation from a "local" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.' vs '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... subject SΣ1..1Reference(US Core Patient Profile)(USCDI) Who and/or what the observation is aboutSΣ1..1Reference(Patient)Who and/or what the observation is about
                                        • Elements differ in short: '(USCDI) Who and/or what the observation is about' vs '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
                                        ΣTU0..*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] SΣC0..1dateTime S, Period, Timing, instant(USCDI) Clinically relevant time/time-period for observation
                                            us-core-1: Datetime must be at least to day.
                                            SΣ1..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                            • Elements differ in short: '(USCDI) Clinically relevant time/time-period for observation' vs 'Clinically relevant time/time-period for observation'
                                            • Element minimum cardinalities differ: '0' vs '1'
                                            ... 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 S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period(USCDI) Result Value
                                                us-core-3: SHALL use UCUM for coded quantity units.
                                                ΣC0..0
                                                • Elements differ in short: '(USCDI) Result Value' vs 'Actual result'
                                                • Elements differ in definition: 'The clinical test or procedure result value. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                • Element maximum cardinalities differ: '1' vs '0'
                                                ... dataAbsentReason SC0..1CodeableConcept(USCDI) Why 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.

                                                • Elements differ in short: '(USCDI) Why the result is missing' vs 'Why the result is missing'
                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                0..*CodeableConceptHigh, low, normal, etc.
                                                Binding: ?? (extensible)
                                                  ... 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
                                                            C0..*BackboneElementProvides guide for interpretation
                                                              .... 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(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                  ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                  Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                    ... component Σ0..*BackboneElementComponent results
                                                                                    SΣ2..*BackboneElementBlood pressure components
                                                                                    Slice: Unordered, Open by pattern:code
                                                                                    • Elements differ in short: 'Component results' vs 'Blood pressure components'
                                                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                    • Element minimum cardinalities differ: '0' vs '2'
                                                                                    .... 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 Σ1..1CodeableConceptType of component observation (code / type)
                                                                                          Binding: ?? (example): Codes identifying names of simple observations.

                                                                                          Σ1..1CodeableConceptType of component observation (code / type)
                                                                                          Binding: ?? (example): Codes identifying names of simple observations.

                                                                                            .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                              .... 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.

                                                                                                .... 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