Profile Comparison between http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DecisionalCapacity vs http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DecisionalCapacity

Left:ADI Decisional Capacity (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DecisionalCapacity)
Right:ADI Decisional Capacity (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DecisionalCapacity)

Messages

ErrorStructureDefinition.versionValues for version differ: '2.0.0-ballot' vs '2.0.0'
InformationStructureDefinition.dateValues for date differ: '2025-08-04T21:33:15+00:00' vs '2026-10-15T19:33:19+00:00'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation'
InformationStructureDefinition.shortValues for short differ: 'Measurements and simple assertions' vs 'assessment observation'
InformationObservation.languageExample/preferred bindings differ at Observation.language using binding from ADIDecisionalCapacity
WarningObservation.statusElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.categoryElement maximum cardinalities differ: '1' vs '2147483647'
InformationObservation.categoryExample/preferred bindings differ at Observation.category using binding from ADIDecisionalCapacity
InformationObservation.codeExample/preferred bindings differ at Observation.code using binding from ADIDecisionalCapacity
WarningObservation.subjectElements differ in definition for mustSupport: 'false' vs 'true'
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'. 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.' 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'.'
InformationStructureDefinition.commentValues for comment differ: '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.' vs 'At least a date should be present unless this observation is a historical report.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.performerElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.value[x]Element minimum cardinalities differ: '0' vs '1'
InformationObservation.referenceRange.typeExample/preferred bindings differ at Observation.referenceRange.type using binding from ADIDecisionalCapacity
InformationStructureDefinition.shortValues for short differ: 'Related measurements the observation is made from' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profiles or other resource the observation is made from'
InformationStructureDefinition.definitionValues for definition differ: '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.' vs 'US Core Observations, DocumentReference, QuestionnaireResponse or other resource from which this observation value is derived.'
ErrorObservation.derivedFromType Mismatch: 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]]) vs 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]])

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation
    • Values Differ
    copyright
      date2025-08-04T21:33:15+00:002026-10-15T19:33:19+00:00
      • Values Differ
      descriptionThis profile is used to represent a patient's decisional capacity for medical decision-making.
        experimentalfalse
          fhirVersion4.0.1
            jurisdiction
              jurisdiction / jurisdiction[0]urn:iso:std:iso:3166#US
                kindresource
                  nameADIDecisionalCapacity
                    publisherHL7 International / Patient Empowerment
                      purpose
                        statusactive
                          titleADI Decisional Capacity
                            typeObservation
                              urlhttp://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DecisionalCapacity
                                version2.0.0-ballot2.0.0
                                • Values Differ

                                Structure

                                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                Observation C0..*ObservationMeasurements and simple assertions
                                C0..*USCoreSimpleObservationProfileassessment observation
                                  Observation.id This element is included in summaries. 0..1idLogical id of this artifact This element is included in summaries. 0..1idLogical id of this artifact
                                    Observation.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                                      Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
                                        Observation.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
                                        • Example/preferred bindings differ at Observation.language using binding from ADIDecisionalCapacity
                                        Observation.text 0..1NarrativeText summary of the resource, for human interpretation
                                        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                        0..1NarrativeText summary of the resource, for human interpretation
                                        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                          Observation.contained 0..*ResourceContained, inline Resources
                                          0..*ResourceContained, inline Resources
                                            Observation.extension 0..*ExtensionAdditional content defined by implementations
                                            0..*ExtensionAdditional content defined by implementations
                                              Observation.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                              This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                                Observation.identifier This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                                This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                                  Observation.basedOn This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                  This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                    Observation.partOf This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                    This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                      Observation.status This element is a modifier element. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                                      Binding: ?? (required): Codes providing the status of an observation.
                                                      Required Pattern: final (extensions allowed)
                                                      This element is a modifier element. This element must be supported. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                                      Binding: ?? (required): Codes providing the status of an observation.
                                                      Required Pattern: final (extensions allowed)
                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                      Observation.category This element must be supported. 1..1CodeableConceptClassification of type of observation
                                                      Binding: ?? (preferred): Codes for high level observation categories.

                                                      Required Pattern:
                                                      {
                                                        "coding" : [
                                                          {
                                                            "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                                                            "code" : "survey"
                                                          }
                                                        ]
                                                      }
                                                      This element must be supported. 1..*CodeableConceptClassification of type of observation
                                                      Slice: Unordered, Open by value:$this
                                                      Binding: ?? (preferred): FHIR and US Core codes for high level observation categories.

                                                      Required Pattern:
                                                      {
                                                        "coding" : [
                                                          {
                                                            "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
                                                            "code" : "PMO"
                                                          }
                                                        ]
                                                      }

                                                      Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                      • Element maximum cardinalities differ: '1' vs '2147483647'
                                                      • Example/preferred bindings differ at Observation.category using binding from ADIDecisionalCapacity
                                                      Observation.code This element must be supported. This element is included in summaries. 1..1CodeableConceptType of observation (code / type)
                                                      Binding: ?? (example): Codes identifying names of simple observations.
                                                      Required Pattern:
                                                      {
                                                        "coding" : [
                                                          {
                                                            "system" : "http://snomed.info/sct",
                                                            "code" : "551781000124102"
                                                          }
                                                        ]
                                                      }
                                                      This element must be supported. This element is included in summaries. 1..1CodeableConceptType of observation (code / type)
                                                      Binding: ?? (preferred)
                                                      Required Pattern:
                                                      {
                                                        "coding" : [
                                                          {
                                                            "system" : "http://loinc.org",
                                                            "code" : "8693-4",
                                                            "display" : "Mental status"
                                                          }
                                                        ]
                                                      }
                                                      • Example/preferred bindings differ at Observation.code using binding from ADIDecisionalCapacity
                                                      Observation.code.id 0..1stringUnique id for inter-element referencing
                                                      • Added this element
                                                      Observation.code.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                      Slice: Unordered, Open by value:url
                                                      • Added this element
                                                      Observation.code.coding This element is included in summaries. 0..*CodingCode defined by a terminology system
                                                      • Added this element
                                                      Observation.code.text This element must be supported. This element is included in summaries. 0..1stringPlain text representation of the concept
                                                      • Added this element
                                                      Observation.subject This element is included in summaries. 1..1Reference(US Core Patient Profile)Who and/or what the observation is about This element must be supported. This element is included in summaries. 1..1Reference(US Core Patient Profile This type must be supported. )Who and/or what the observation is about
                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                      Observation.focus This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                      This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                        Observation.encounter This element is included in summaries. 0..0Healthcare event during which this observation is made This element is included in summaries. 0..0Healthcare event during which this observation is made
                                                          Observation.effective[x] This element is included in summaries. 0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation This element must be supported. This element is included in summaries. 0..1dateTime This type must be supported. , Period, Timing, instantClinically relevant time/time-period for observation
                                                          • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                          Observation.issued This element is included in summaries. 0..1instantDate/Time this version was made available This element is included in summaries. 0..1instantDate/Time this version was made available
                                                            Observation.performer This element is included in summaries. 0..*Reference(US Core Practitioner Profile | US Core PractitionerRole Profile)Who is responsible for the observation
                                                            This element must be supported. This element is included in summaries. 0..*Reference(US Core Practitioner Profile This type must be supported. | US Core PractitionerRole Profile)Who is responsible for the observation
                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                            Observation.Slices for value[x] This element is included in summaries. C0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                            Slice: Unordered, Open by type:$this
                                                            Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                            This element must be supported. This element is included in summaries. C1..1CodeableConcept This type must be supported. , string This type must be supported. Actual result
                                                            Slice: Unordered, Closed by type:$this
                                                            Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                            • Element minimum cardinalities differ: '0' vs '1'
                                                            Observation.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.
                                                              Observation.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.
                                                                Observation.note 0..*AnnotationComments about the observation
                                                                0..*AnnotationComments about the observation
                                                                  Observation.bodySite 0..1CodeableConceptObserved body part
                                                                  Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                  0..1CodeableConceptObserved body part
                                                                  Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                    Observation.method 0..1CodeableConceptHow it was done
                                                                    Binding: ?? (example): Methods for simple observations.
                                                                    0..1CodeableConceptHow it was done
                                                                    Binding: ?? (example): Methods for simple observations.
                                                                      Observation.specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                                        Observation.device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                          Observation.referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                          C0..*BackboneElementProvides guide for interpretation
                                                                            Observation.referenceRange.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                              Observation.referenceRange.extension 0..*ExtensionAdditional content defined by implementations
                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                  Observation.referenceRange.low C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellLow Range, if relevantC0..1??Low Range, if relevant
                                                                                    Observation.referenceRange.high C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellHigh Range, if relevantC0..1??High Range, if relevant
                                                                                      Observation.referenceRange.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.
                                                                                      • Example/preferred bindings differ at Observation.referenceRange.type using binding from ADIDecisionalCapacity
                                                                                      Observation.referenceRange.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.
                                                                                        Observation.referenceRange.age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                          Observation.referenceRange.text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                            Observation.hasMember This element is included in summaries. 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                            This element is included in summaries. 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                              Observation.derivedFrom This element is included in summaries. 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                              This element is included in summaries. 0..*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
                                                                                              • Type Mismatch: 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]]) vs 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]])
                                                                                              Observation.component This element is included in summaries. 0..*BackboneElementComponent results
                                                                                              This element is included in summaries. 0..*BackboneElementComponent results
                                                                                                Observation.component.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                  Observation.component.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                    Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                    This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                      Observation.component.code This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                      Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                      This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                      Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                        Observation.component.value[x] This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                          Observation.component.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.
                                                                                                            Observation.component.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.
                                                                                                              Observation.component.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