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

Left:ADI Documentation Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation)
Right:ADI Documentation Observation (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation)

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-observation-adi-documentation'
InformationStructureDefinition.shortValues for short differ: 'Measurements and simple assertions' vs 'US Core Observation ADI Presence Profile'
InformationObservation.languageExample/preferred bindings differ at Observation.language using binding from ADIDocumentationObservation
WarningObservation.statusElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.categoryElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.categoryExample/preferred bindings differ at Observation.category using binding from ADIDocumentationObservation
InformationStructureDefinition.shortValues for short differ: 'Type of observation (code / type)' vs 'Observation ADI Documentation code'
InformationStructureDefinition.shortValues for short differ: 'Date/Time this version was made available' vs 'Date/Time this observation was made available'
WarningObservation.issuedElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.performerElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.value[x]Element minimum cardinalities differ: '1' vs '0'
InformationObservation.referenceRange.typeExample/preferred bindings differ at Observation.referenceRange.type using binding from ADIDocumentationObservation

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-adi-documentation
    • Values Differ
    copyright
      date2025-08-04T21:33:15+00:002026-10-15T19:33:19+00:00
      • Values Differ
      descriptionThis profile is used to indicate if additional advance directive documents, such as physician order for life sustaining treatment (MOLST or POLST) or Do Not Resuscitate Order (DNR) exist and a reference to the document.
        experimental
          fhirVersion4.0.1
            jurisdiction
              jurisdiction / jurisdiction[0]urn:iso:std:iso:3166#US
                kindresource
                  nameADIDocumentationObservation
                    publisherHL7 International / Patient Empowerment
                      purpose
                        statusactive
                          titleADI Documentation Observation
                            typeObservation
                              urlhttp://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentationObservation
                                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..*USCoreObservationADIDocumentationProfileUS Core Observation ADI Presence Profile
                                Constraints: obs-data-absent-reason-required
                                  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 ADIDocumentationObservation
                                        Observation.text This element must be supported. 1..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
                                        This element must be supported. 1..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.Slices for extension 0..*ExtensionExtension
                                            Slice: Unordered, Open by value:url

                                            Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                            0..*ExtensionExtension
                                            Slice: Unordered, Open by value:url
                                              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 0..*CodeableConceptClassification of type of observation
                                                      Binding: ?? (preferred): Codes for high level observation categories.
                                                      This element must be supported. 0..*CodeableConceptClassification of type of observation
                                                      Slice: Unordered, Open by value:$this
                                                      Binding: ?? (preferred): FHIR and US Core codes for high level observation categories.

                                                      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'
                                                      • Example/preferred bindings differ at Observation.category using binding from ADIDocumentationObservation
                                                      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://loinc.org",
                                                            "code" : "42348-3",
                                                            "display" : "Advance healthcare directives"
                                                          }
                                                        ]
                                                      }
                                                      This element must be supported. This element is included in summaries. 1..1CodeableConceptObservation ADI Documentation code
                                                      Binding: ?? (example): Codes identifying names of simple observations.
                                                      Required Pattern:
                                                      {
                                                        "coding" : [
                                                          {
                                                            "system" : "http://loinc.org",
                                                            "code" : "45473-6"
                                                          }
                                                        ]
                                                      }
                                                        Observation.subject This element must be supported. 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)Who and/or what the observation is about
                                                          Observation.focus This element is included in summaries. 0..*Reference(Resource)Reference to the additional document this observation is about
                                                          This element is included in summaries. 0..*Reference(Resource)Reference to the additional document this observation is about
                                                            Observation.encounter This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made
                                                              Observation.effective[x] This element must be supported. This element is included in summaries. 1..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation This element must be supported. This element is included in summaries. 1..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                                Observation.issued This element is included in summaries. 0..1instantDate/Time this version was made available This element must be supported. This element is included in summaries. 0..1instantDate/Time this observation was made available
                                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                Observation.performer This element is included in summaries. 1..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                                This element must be supported. This element is included in summaries. 1..1Reference(US Core Practitioner Profile This type must be supported. | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                Observation.value[x] This element must be supported. This element is included in summaries. C1..1CodeableConceptActual result
                                                                Binding: ?? (extensible)
                                                                This element must be supported. This element is included in summaries. C0..1CodeableConceptActual result
                                                                Binding: ?? (required): Answer Set with Yes No and Unknowns
                                                                • Element minimum cardinalities differ: '1' vs '0'
                                                                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 This element must be supported. 0..*AnnotationComments about the observation
                                                                    This element must be supported. 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 ADIDocumentationObservation
                                                                                          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(ADI Document Reference)Reference to the additional document that exists
                                                                                                  This element is included in summaries. 0..*Reference(ADI Document Reference)Reference to the additional document that exists
                                                                                                    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