## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure vs http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure

Left: | US Core Average Blood Pressure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure)
Right: | Average Blood Pressure (http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure' vs 'http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure'
Error | StructureDefinition.version | Values for version differ: '7.0.0' vs '2.0.0'
Information | StructureDefinition.name | Values for name differ: 'USCoreAverageBloodPressureProfile' vs 'AverageBloodPressure'
Information | StructureDefinition.title | Values for title differ: 'US Core Average Blood Pressure Profile' vs 'Average Blood Pressure'
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft'
Information | StructureDefinition.date | Values for date differ: '2024-03-25' 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'
Information | StructureDefinition.short | Values for short differ: 'US Core Average Blood Pressure Profile' vs 'Measurements and simple assertions'
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'
Warning | Observation.category | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.category | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Blood Pressure' vs 'Blood pressure panel; mean systolic and mean diastolic pressures'
Warning | Observation.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.subject | Element minimum cardinalities differ: '0' vs '1'
Information | StructureDefinition.short | Values for short differ: 'clinically relevant time-period for the average of blood pressure (BP) readings' vs 'Clinically relevant time/time-period for observation'
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 | Observation.specimen | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: '(Measurement) Device' vs 'Blood Pressure Device'
Warning | Observation.device | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.comment | Values for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.'
Information | StructureDefinition.short | Values for short differ: 'Average systolic and diastolic blood pressure and other qualifiers.' vs 'Blood pressure components'
Information | Observation.component | Element minimum cardinalities differ: '2' vs '1'
Information | StructureDefinition.short | Values for short differ: 'Vital Sign Component Value' vs 'Actual component result'
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 'The information determined as a result of making the observation, if the information has a simple value.'
Warning | Observation.component.value[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Observation.component.dataAbsentReason | Elements differ in definition for mustSupport: 'true' vs 'false'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License | Logica Health, all rights reserved Creative Commons License | Values Differ
date | 2024-03-25 | 2024-10-09T23:56:46+00:00 | Values Differ
description | The US Core Average Blood Pressure Profile inherits from the [Observation](https://hl7.org/fobservation.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for recording, searching, and fetching average diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. 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. | A calculated average of two or more blood pressure readings in a specified time period or according to a specified algorithm or protocol. The average blood pressure has a systolic and a diastolic component. | 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 | USCoreAverageBloodPressureProfile | AverageBloodPressure | 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 Average Blood Pressure Profile | Average Blood Pressure | Values Differ
type | Observation |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure | http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure | 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..* | Observation | US Core Average Blood Pressure 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 | C | 0..* | Observation | Measurements and simple assertions 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 |
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): Codes providing the status of an observation. | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. |
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. |  | 0..* | CodeableConcept | Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories. | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
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 | Blood Pressure Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"96607-7"}]} | Σ | 1..1 | CodeableConcept | Blood pressure panel; mean systolic and mean diastolic pressures Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"96607-7"}]} | Elements differ in definition for mustSupport: 'true' vs 'false'
subject | S Σ | 0..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 | Element minimum cardinalities differ: '0' vs '1'
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 | 1..1 | dateTime, Period S | clinically relevant time-period for the average of blood pressure (BP) readings | S Σ | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
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 |
value[x] | Σ C | 0..0 |  |  | Σ C | 0..0 |  |  |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | 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): Codes identifying interpretations of observations. |
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): A set of codes that describe where on/in the body an observation or procedure took place | 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): A set of codes that describe the method used to measure a blood pressure | Elements differ in definition for mustSupport: 'false' vs 'true'
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation |  | 0..0 |  |  | Element maximum cardinalities differ: '1' vs '0'
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device | Elements differ in definition for mustSupport: 'false' vs 'true'
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(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
Slices for component | S Σ C | 2..* | BackboneElement | Average systolic and diastolic blood pressure and other qualifiers. Slice: Unordered, Open by pattern:code us-core-26: If there is no value a data absent reason must be present | S Σ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code | Element minimum cardinalities differ: '2' vs '1'
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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. |
value[x] | S Σ | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Elements differ in definition for mustSupport: 'true' vs 'false'
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | Elements differ in definition for mustSupport: 'true' vs 'false'
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