Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation vs http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel

Left:US Core Simple Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation)
Right:Blood Pressure Panel (http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation' vs 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel'
ErrorStructureDefinition.versionValues for version differ: '7.0.0' vs '2.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreSimpleObservationProfile' vs 'BloodPressurePanel'
InformationStructureDefinition.titleValues for title differ: 'US Core Simple Observation Profile' vs 'Blood Pressure Panel'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2023-10-17' vs '2024-10-09T23:56:46+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International - Clinical Information Modeling Initiative'
InformationStructureDefinition.copyrightValues for copyright differ: 'Used by permission of HL7 International, all rights reserved Creative Commons License' vs 'Logica Health, all rights reserved Creative Commons License'
InformationStructureDefinition.jurisdictionRemoved the item 'urn:iso:std:iso:3166#US'
InformationStructureDefinition.jurisdictionAdded the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.shortValues for short differ: 'assessment observation' vs 'Measurements and simple assertions'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues 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'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Type of observation (code / type)' vs 'Blood pressure panel with all children optional'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.definitionValues for definition differ: 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g., human patients - this is usually called the 'physiologically relevant time'.' vs 'The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the 'physiologically relevant time'. This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.'
InformationStructureDefinition.commentValues for comment differ: 'At least a date should be present unless this observation is a historical report.' vs 'At least a date should be present unless this observation is a historical report. For recording imprecise or 'fuzzy' times (For example, a blood glucose measurement taken 'after breakfast') use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.'
InformationObservation.effective[x]Element minimum cardinalities differ: '0' vs '1'
WarningObservation.performerElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.value[x]Element maximum cardinalities differ: '1' vs '0'
InformationObservation.interpretationElement maximum cardinalities differ: '2147483647' vs '1'
WarningObservation.bodySiteElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.specimenElement maximum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: '(Measurement) Device' vs 'Blood Pressure Device'
WarningObservation.deviceElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.commentValues 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.'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profiles or other resource the observation is made from' vs 'Related measurements the observation is made from'
InformationStructureDefinition.definitionValues for definition differ: 'US Core Observations, DocumentReference, QuestionnaireResponse or other resource from which this observation value is derived.' vs 'The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.'
ErrorObservation.derivedFromType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
InformationStructureDefinition.shortValues for short differ: 'Component results' vs 'Blood pressure components'
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.componentElement minimum cardinalities differ: '0' vs '1'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons LicenseLogica Health, all rights reserved Creative Commons License
      • Values Differ
      .date2023-10-172024-10-09T23:56:46+00:00
      • Values Differ
      .descriptionThe US Core Simple Observation Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This US Core FHIR Profile captures any "simple" observations not covered by other US Core Observation profiles. It represents any observation not classified as vital signs, laboratory, imaging, or other specific observation types. This profile sets minimum expectations for the Observation resource to record, search, and retrieve observations such as a clinical observation or assertion about patient health status or other general observations. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.Blood Pressure Panel; a grouping of systolic, diastolic, and mean arterial blood pressure components.
      • Values Differ
      .experimental
        .fhirVersion4.0.1
          .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'
            .kindresource
              .nameUSCoreSimpleObservationProfileBloodPressurePanel
              • Values Differ
              .publisherHL7 International / Cross-Group ProjectsHL7 International - Clinical Information Modeling Initiative
              • Values Differ
              .purpose
                .statusactivedraft
                • Values Differ
                .titleUS Core Simple Observation ProfileBlood Pressure Panel
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observationhttp://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel
                  • Values Differ
                  .version7.0.02.0.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                  .. Observation C0..*Observationassessment observation
                  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
                  C0..*ObservationMeasurements 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 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..*ExtensionExtension
                                Slice: Unordered, Open by value:url
                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                  ?!0..*ExtensionExtensions that cannot be ignored
                                    ... identifier Σ0..*IdentifierBusiness Identifier for observation
                                    Σ0..*IdentifierBusiness Identifier for observation
                                      ... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                      Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                        ... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                        Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                          ... status ?!SΣ1..1coderegistered | preliminary | final | amended +
                                          Binding: ?? (required): Codes providing the status of an observation.

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

                                            ... Slices for category S1..*CodeableConceptClassification 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 definition for mustSupport: 'true' vs 'false'
                                            • Element minimum cardinalities differ: '1' vs '0'
                                            .... id 0..1stringUnique id for inter-element referencing
                                            • Added this element
                                            .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                            Slice: Unordered, Open by value:url
                                            • Added this element
                                            .... coding Σ0..*CodingCode defined by a terminology system
                                            • Added this element
                                            .... text Σ0..1stringPlain text representation of the concept
                                            • Added this element
                                            ... code SΣ1..1CodeableConceptType of observation (code / type)
                                            Binding: ?? (preferred)
                                            Σ1..1CodeableConceptBlood pressure panel with all children optional
                                            Binding: ?? (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"85354-9"}]}
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            ... subject SΣ1..1Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)Who and/or what the observation is aboutSΣ1..1Reference(Patient)Who and/or what the observation is about
                                              ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                              Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                  ... effective[x] SΣ0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observationSΣ1..1dateTime, Period, Timing, instantClinically 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 SΣ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                    Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                    ... value[x] SΣC0..1Quantity S, CodeableConcept S, string S, boolean S, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual resultΣC0..0
                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                    • Element maximum cardinalities differ: '1' vs '0'
                                                    ... dataAbsentReason C0..1CodeableConceptWhy 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.

                                                      ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                      Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                      0..1CodeableConceptHigh, low, normal, etc.
                                                      Binding: ?? (extensible)
                                                      • Element maximum cardinalities differ: '2147483647' vs '1'
                                                      ... 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.

                                                        S0..1CodeableConceptObserved 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..1CodeableConceptHow it was done
                                                        Binding: ?? (example): Methods for simple observations.

                                                        S0..1CodeableConceptHow 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..1Reference(Specimen)Specimen used for this observation0..0
                                                        • Element maximum cardinalities differ: '1' vs '0'
                                                        ... device 0..1Reference(Device | DeviceMetric)(Measurement) DeviceS0..1Reference(Blood Pressure Device)Blood Pressure Device
                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                        ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                        obs-3: Must have at least a low or a high or text
                                                        C0..*BackboneElementProvides guide for interpretation
                                                        obs-3: Must have at least a low or a high or text
                                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                            .... extension 0..*ExtensionAdditional content defined by implementations
                                                            0..*ExtensionAdditional content defined by implementations
                                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                .... low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                  .... high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                    .... type 0..1CodeableConceptReference range qualifier
                                                                    Binding: ?? (preferred): Code for the meaning of a reference range.

                                                                    0..1CodeableConceptReference range qualifier
                                                                    Binding: ?? (preferred): Code for the meaning of a reference range.

                                                                      .... appliesTo 0..*CodeableConceptReference range population
                                                                      Binding: ?? (example): Codes identifying the population the reference range applies to.


                                                                      0..*CodeableConceptReference range population
                                                                      Binding: ?? (example): Codes identifying the population the reference range applies to.


                                                                        .... age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                          .... text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                            ... hasMember Σ0..*Reference(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(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence)𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profiles or other resource the observation is made from
                                                                              Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                              • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
                                                                              ... component Σ0..*BackboneElementComponent results
                                                                              SΣ1..*BackboneElementBlood pressure components
                                                                              Slice: Unordered, Open by value:code
                                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                              • Element minimum cardinalities differ: '0' vs '1'
                                                                              .... 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