Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure vs http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-medical-information-data-quality

Left:US Core Average Blood Pressure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure)
Right:Observation - Medical Information Data Quality (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-medical-information-data-quality)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure' vs 'http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-medical-information-data-quality'
ErrorStructureDefinition.versionValues for version differ: '7.0.0' vs '2.0.0-cibuild'
InformationStructureDefinition.nameValues for name differ: 'USCoreAverageBloodPressureProfile' vs 'ObservationMedicalInformationDataQuality'
InformationStructureDefinition.titleValues for title differ: 'US Core Average Blood Pressure Profile' vs 'Observation - Medical Information Data Quality'
InformationStructureDefinition.dateValues for date differ: '2024-03-25' vs '2024-10-07T21:14:44+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Public Health'
InformationStructureDefinition.shortValues for short differ: 'US Core Average Blood Pressure Profile' vs 'Measurements and simple assertions'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Blood Pressure' vs 'Medical Information Data Quality Observation'
WarningObservation.codeElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.subjectElement minimum cardinalities differ: '0' vs '1'
InformationObservation.focusElement minimum cardinalities differ: '0' vs '1'
InformationObservation.focusElement maximum cardinalities differ: '2147483647' vs '1'
InformationStructureDefinition.shortValues for short differ: 'clinically relevant time-period for the average of blood pressure (BP) readings' vs 'Clinically relevant time/time-period for observation'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.effective[x]Element minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Actual result' vs 'Medical information data quality review conclusion.'
InformationObservation.value[x]Element minimum cardinalities differ: '0' vs '1'
InformationObservation.value[x]Element maximum cardinalities differ: '0' vs '1'
ErrorObservation.value[x]Element minimum cardinalities conflict: '0..0' vs '1..1': No instances can be valid against both profiles
WarningObservation.noteElements 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: 'Average systolic and diastolic blood pressure and other qualifiers.' vs 'Component results'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.componentElement minimum cardinalities differ: '2' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Vital Sign Component Value' vs 'Actual component result'
InformationStructureDefinition.definitionValues 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.'
WarningObservation.component.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'

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'
      .date2024-03-252024-10-07T21:14:44+00:00
      • Values Differ
      .descriptionThe 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.This Observation profile describes TBD.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreAverageBloodPressureProfileObservationMedicalInformationDataQuality
              • Values Differ
              .publisherHL7 International / Cross-Group ProjectsHL7 International / Public Health
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Average Blood Pressure ProfileObservation - Medical Information Data Quality
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressurehttp://hl7.org/fhir/us/mdi/StructureDefinition/Observation-medical-information-data-quality
                    • Values Differ
                    .version7.0.02.0.0-cibuild
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                    .. Observation C0..*ObservationUS 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
                    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..*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..1coderegistered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.

                                            ?!Σ1..1coderegistered | preliminary | final | amended +
                                            Binding: ?? (required): Codes providing the status of an observation.

                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            ... Slices for category S1..*CodeableConceptClassification of type of observation
                                            Slice: Unordered, Open by value:coding.code, value:coding.system
                                            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'
                                            ... code SΣ1..1CodeableConceptBlood Pressure
                                            Binding: ?? (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"96607-7"}]}
                                            Σ1..1CodeableConceptMedical Information Data Quality Observation
                                            Binding: ?? (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/us/mdi/CodeSystem/CodeSystem-vr-codes","code":"MedicalInformationDataQuality"}]}
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            ... subject SΣ0..1Reference(US Core Patient Profile(5.0.1))Who and/or what the observation is aboutΣ1..1Reference(Decedent)Who and/or what the observation is about
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            • Element minimum cardinalities differ: '0' vs '1'
                                            ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                            Σ1..1Reference(Death Certificate)What the observation is about, when it is not about the subject of record
                                            • Element minimum cardinalities differ: '0' vs '1'
                                            • Element maximum cardinalities differ: '2147483647' vs '1'
                                            ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                              ... effective[x] SΣ1..1dateTime, Period Sclinically relevant time-period for the average of blood pressure (BP) readingsΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              • Element minimum cardinalities differ: '1' vs '0'
                                              ... 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] ΣC0..0ΣC1..1CodeableConceptMedical information data quality review conclusion.
                                                  Binding: ?? (example)
                                                  • Element minimum cardinalities differ: '0' vs '1'
                                                  • Element maximum cardinalities differ: '0' vs '1'
                                                  • Element minimum cardinalities conflict: '0..0' vs '1..1': No instances can be valid against both profiles
                                                  ... 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..*CodeableConceptHigh, low, normal, etc.
                                                    Binding: ?? (extensible): Codes identifying interpretations of observations.


                                                      ... note 0..*AnnotationComments about the observation
                                                      S0..*AnnotationComments about the observation
                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                      ... 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
                                                              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(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
                                                                                      ... Slices for component SΣC2..*BackboneElementAverage 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
                                                                                      Σ0..*BackboneElementComponent results
                                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                      • Element minimum cardinalities differ: '2' vs '0'
                                                                                      .... 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] SΣ0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component ValueΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                              .... dataAbsentReason SC0..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.

                                                                                              • 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): 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