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

Left: | US Core Pulse Oximetry Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry)
Right: | Heart Rate (http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry' vs 'http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate'
Error | StructureDefinition.version | Values for version differ: '7.0.0' vs '2.0.0'
Information | StructureDefinition.name | Values for name differ: 'USCorePulseOximetryProfile' vs 'HeartRate'
Information | StructureDefinition.title | Values for title differ: 'US Core Pulse Oximetry Profile' vs 'Heart Rate'
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft'
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2024-10-09T23:56:46+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International - Clinical Information Modeling Initiative'
Information | StructureDefinition.copyright | Values for copyright differ: 'Used by permission of HL7 International, all rights reserved Creative Commons License' vs 'Logica Health, all rights reserved Creative Commons License'
Information | StructureDefinition.jurisdiction | Removed the item 'urn:iso:std:iso:3166#US'
Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs' vs 'http://hl7.org/fhir/StructureDefinition/heartrate'
Information | StructureDefinition.short | Values for short differ: 'US Core Pulse Oximetry Profile' vs 'FHIR Heart Rate Profile'
Information | StructureDefinition.definition | Values for definition differ: 'The FHIR Vitals Signs profile sets minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient.' vs 'This profile defines how to represent heart rate observations in FHIR using a standard LOINC code and UCUM units of measure.'
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Information | StructureDefinition.short | Values for short differ: 'Oxygen Saturation by Pulse Oximetry' vs 'Heart rate'
Information | StructureDefinition.definition | Values for definition differ: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Heart Rate.'
Information | StructureDefinition.comment | Values for comment differ: 'The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood).' vs 'additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.'
Error | Observation.code | Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62 at Observation.code
Warning | Observation.code.coding | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.code.coding | Element minimum cardinalities differ: '2' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Vital Signs Value' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.'
Information | StructureDefinition.definition | Values for definition differ: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.'
Warning | Observation.bodySite | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Observation.method | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Used when reporting flow rates or oxygen concentration.' vs 'Used when reporting systolic and diastolic blood pressure.'
Information | StructureDefinition.definition | Values for definition differ: 'Used when reporting flow rates or oxygen concentration.' vs 'Used when reporting systolic and diastolic blood pressure.'
Information | StructureDefinition.short | Values for short differ: 'Coded vital sign result type' vs 'Type of component observation (code / type)'
Error | Observation.component.code | Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62 at Observation.component.code
Information | StructureDefinition.short | Values for short differ: 'Vital Sign Component Value' vs 'Vital Sign Value recorded with UCUM'
Information | StructureDefinition.definition | Values for definition differ: 'Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept.' vs 'Vital Sign Value recorded with UCUM.'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | http://hl7.org/fhir/StructureDefinition/heartrate | Values Differ
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License | Logica Health, all rights reserved Creative Commons License | Values Differ
date | 2023-10-17 | 2024-10-09T23:56:46+00:00 | Values Differ
description | The US Core Pulse Oximetry Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and pulse oximetry and inspired oxygen observations with standard LOINC codes and UCUM units of measure. It specifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | The number of heart beats in a minute. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |  | Removed the item 'urn:iso:std:iso:3166#US'
jurisdiction[1] |  | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
kind | resource |
name | USCorePulseOximetryProfile | HeartRate | Values Differ
publisher | HL7 International / Cross-Group Projects | HL7 International - Clinical Information Modeling Initiative | Values Differ
purpose |  |
status | active | draft | Values Differ
title | US Core Pulse Oximetry Profile | Heart Rate | Values Differ
type | Observation |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry | http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate | Values Differ
version | 7.0.0 | 2.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Observation | C | 0..* | USCoreVitalSignsProfile | US 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. | C | 0..* | observation-heartrate | FHIR Heart Rate 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 | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation |
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required) | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required) |
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories. | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories. |
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
coding |  |  |  |  | Σ | 0..* | Coding | Code defined by a terminology system | Added this element
text |  |  |  |  | Σ | 0..1 | string | Plain text representation of the concept | Added this element
code | S Σ | 1..1 | CodeableConcept | Oxygen Saturation by Pulse Oximetry Binding: ?? (extensible): Vital sign result types | S Σ | 1..1 | CodeableConcept | Heart rate Binding: ?? (extensible): This identifies the vital sign result type. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"8867-4"}]} | Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62 at Observation.code
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
Slices for coding | S Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '2' vs '0'
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | S Σ C | 1..1 | dateTime S, Period | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | S Σ C | 1..1 | dateTime, Period | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
Slices for value[x] | S Σ C | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Signs Value Slice: Unordered, Open by type:$this Binding: ?? (extensible): Common UCUM units for recording Vital Signs. | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | S C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible) |
note |  | 0..* | Annotation | Comments about the observation |  | 0..* | Annotation | Comments about the observation |
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. | S | 0..1 | CodeableConcept | Observed body part Binding: ?? (extensible) | Elements differ in definition for mustSupport: 'false' vs 'true'
method |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. | S | 0..1 | CodeableConcept | How it was done Binding: ?? (extensible) | Elements differ in definition for mustSupport: 'false' vs 'true'
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation |  | 0..1 | Reference(Specimen) | Specimen used for this observation |
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant |
high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant |
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. |
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |
age |  | 0..1 | Range | Applicable age range, if relevant |  | 0..1 | Range | Applicable age range, if relevant |
text |  | 0..1 | string | Text based reference range in an observation |  | 0..1 | string | Text based reference range in an observation |
hasMember | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from |
Slices for component | S Σ C | 0..* | BackboneElement | Used 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 | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S Σ | 1..1 | CodeableConcept | Coded vital sign result type Binding: ?? (extensible): Vital sign result types | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (extensible): This identifies the vital sign result type. | Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62 at Observation.component.code
value[x] | S Σ C | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value Binding: ?? (extensible): Common UCUM units for recording Vital Signs. | S Σ C | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Value recorded with UCUM Binding: ?? (extensible): Common UCUM units for recording Vital Signs. |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, 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 |
Documentation for this format