Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/pacio-fs/StructureDefinition/pacio-fsc

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:PACIO Functional Status Collection (http://hl7.org/fhir/us/pacio-fs/StructureDefinition/pacio-fsc)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/pacio-fs/StructureDefinition/pacio-fsc'
ErrorStructureDefinition.versionValues for version differ: '4.0.0' vs '1.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'FunctionalStatusCollection'
InformationStructureDefinition.titleValues for title differ: 'US Core Laboratory Result Observation Profile' vs 'PACIO Functional Status Collection'
InformationStructureDefinition.dateValues for date differ: '2020-06-27' vs '2021-11-03T18:56:23+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 Patient Care Work Group'
WarningObservationElements differ in definition: 'This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservation.extensionElements differ in short: 'Additional content defined by implementations' 'Extension'
WarningObservation.extensionElements differ in definition: '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.' 'An Extension'
WarningObservation.basedOnElements differ in short: 'Fulfills plan, proposal or order' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.partOfElements differ in short: 'Part of referenced event' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.statusElements differ in short: 'registered | preliminary | final | amended +' 'Should have the value 'final' when all the observatons are complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used.'
ErrorObservation.statusElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.categoryElements differ in short: 'Classification of type of observation' 'A second category code may be used along with the code “functioning”. For example, for assessment tool/survey instrument observations use “survey” as a second code.'
ErrorObservation.categoryElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.codeElements differ in short: 'Laboratory Test Name' 'For a Post-Acute Care structured assessment resource such as an instrument or screen, use a LOINC code to identify the instrument/screen name or panel/section title to indicate the kind of assessment.'
WarningObservation.codeElements differ in definition: 'The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.' 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.' '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.'
ErrorObservation.codeElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.subjectElements differ in short: 'Who and/or what the observation is about' 'Should only reference a Patient resource.'
ErrorObservation.subjectElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.focusElements differ in short: 'What the observation is about, when it is not about the subject of record' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.effective[x]Elements differ in short: 'Clinically relevant time/time-period for observation' 'Clinical relevant time for an assessment such as functional assessments performed with structured evaluation tools is the time the evaluation occurs, i.e., when the clinician obtains the answers entered in the tool. However, the only timing available may be when then tool is completed by the clinician. That timing is generally documented as a point in time (dateTime).'
WarningObservation.effective[x]Elements differ in definition: 'For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.' 'Clinical relevant time for an assessment such as functional assessments performed with structured evaluation tools is the time the evaluation occurs, i.e., when the clinician obtains the answers entered in the tool. However, the only timing available may be when then tool is completed by the clinician. That timing is generally documented as a point in time (dateTime).'
WarningObservation.effective[x]Elements differ in comments: '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] datatype which allow the measurement to be tied to regular life events.' 'The use of effective[x] and dateTime versus Period is subject to implementer workflow and needs. In most situations, an observation is considered as a point in time, even if the assessment occurred over a period of time. Period is included in this implementation guide to provide additional flexibility for specific use cases. However, it is expected most observations will be recorded using DateTime. Furthermore, any retrieval of information should return the relevant if DateTime is requested, even if the original observation was recorded as a period. Some implementers may choose to use additional functions in there retrieves to 'normalize' intervals, as is done in Clinical Quality Language (CQL).'
ErrorObservation.effective[x]Elements differ in definition for mustSupport: 'true' 'false'
WarningObservation.issuedElements differ in short: 'Date/Time this version was made available' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.performerElements differ in short: 'Who is responsible for the observation' 'The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization.'
WarningObservation.value[x]Elements differ in short: 'Result Value' 'If used, should use the CodeableConcept datatype whenever possible to provide a suitable code to define the concept for the observation data. When capturing a collection of related observations, typically this field is not used. If the outcome of an assessment includes one or more summary scores, leave this field unused and use the 'hasMember' field to point to one or more Observation resources with each of which has a score provided in the 'value' field.'
WarningObservation.value[x]Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' 'The information determined as a result of making the observation, if the information has a simple value.'
ErrorObservation.value[x]Elements differ in definition for mustSupport: 'true' 'false'
WarningObservation.dataAbsentReasonElements differ in short: 'Why the result is missing' 'Currently not used in FunctionalStatusCollection.'
ErrorObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' 'false'
WarningObservation.interpretationElements differ in short: 'High, low, normal, etc.' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.bodySiteElements differ in short: 'Observed body part' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.methodElements differ in short: 'How it was done' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.specimenElements differ in short: 'Specimen used for this observation' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.deviceElements differ in short: '(Measurement) Device' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.referenceRangeElements differ in short: 'Provides guide for interpretation' 'Currently not used in FunctionalStatusCollection.'
WarningObservation.hasMemberElements differ in short: 'Related resource that belongs to the Observation group' 'Each functional status observation in the collection.'
ErrorObservation.hasMemberElements differ in definition for mustSupport: 'false' 'true'
WarningObservation.derivedFromElements differ in short: 'Related measurements the observation is made from' 'Should point back to the SDC QuestionnaireResponse that this resource is derived from.'
ErrorObservation.derivedFromElements differ in definition for mustSupport: 'false' 'true'
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]]) Reference([CanonicalType[http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse]])
WarningObservation.componentElements differ in short: 'Component results' 'Currently not used in FunctionalStatusCollection.'

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'
      .date2020-06-272021-11-03T18:56:23+00:00
      • Values Differ
      .descriptionDefines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve laboratory test resultsA point in time collection of functional status observations for a patient. This profile is used for exchanging a set of observation data collected through the use of a structured resource (e.g. assessment tool, instrument, or screen).
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreLaboratoryResultObservationProfileFunctionalStatusCollection
              • Values Differ
              .publisherHL7 International - US Realm Steering CommitteeHL7 Patient Care Work Group
              • Values Differ
              .purpose
                .statusactive
                  .titleUS Core Laboratory Result Observation ProfilePACIO Functional Status Collection
                  • Values Differ
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://hl7.org/fhir/us/pacio-fs/StructureDefinition/pacio-fsc
                    • Values Differ
                    .version4.0.01.0.0
                    • Values Differ

                    Structure

                    NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                    .. Observation II
                    • Elements differ in definition: "This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements." "Measurements and simple assertions made about a patient, device or other subject."
                    ... id ΣΣ
                      ... meta ΣΣ
                        ... implicitRules ?!Σ?!Σ
                          ... language
                            ... text
                              ... contained
                                ... extension ExtensionExtension
                                • Elements differ in short: "Additional content defined by implementations" "Extension"
                                • Elements differ in definition: "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." "An Extension"
                                ... modifierExtension ?!?!
                                  ... identifier ΣΣ
                                    ... basedOn ΣΣ
                                    • Elements differ in short: "Fulfills plan, proposal or order" "Currently not used in FunctionalStatusCollection."
                                    ... partOf ΣΣ
                                    • Elements differ in short: "Part of referenced event" "Currently not used in FunctionalStatusCollection."
                                    ... status ?!SΣ?!Σ
                                    • Elements differ in short: "registered | preliminary | final | amended +" "Should have the value 'final' when all the observatons are complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used."
                                    • Elements differ in definition for mustSupport: "true" "false"
                                    ... Slices for category S
                                    • Elements differ in short: "Classification of type of observation" "A second category code may be used along with the code “functioning”. For example, for assessment tool/survey instrument observations use “survey” as a second code."
                                    • Elements differ in definition for mustSupport: "true" "false"
                                    ... code SΣΣ
                                    • Elements differ in short: "Laboratory Test Name" "For a Post-Acute Care structured assessment resource such as an instrument or screen, use a LOINC code to identify the instrument/screen name or panel/section title to indicate the kind of assessment."
                                    • Elements differ in definition: "The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC." "Describes what was observed. Sometimes this is called the observation "name"."
                                    • Elements differ in comments: "The typical patterns for codes are: 1) a LOINC code either as a translation from a "local" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display." "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation."
                                    • Elements differ in definition for mustSupport: "true" "false"
                                    ... subject SΣΣ
                                    • Elements differ in short: "Who and/or what the observation is about" "Should only reference a Patient resource."
                                    • Elements differ in definition for mustSupport: "true" "false"
                                    ... focus ΣΣ
                                    • Elements differ in short: "What the observation is about, when it is not about the subject of record" "Currently not used in FunctionalStatusCollection."
                                    ... encounter ΣΣ
                                      ... effective[x] SΣIΣ
                                      • Elements differ in short: "Clinically relevant time/time-period for observation" "Clinical relevant time for an assessment such as functional assessments performed with structured evaluation tools is the time the evaluation occurs, i.e., when the clinician obtains the answers entered in the tool. However, the only timing available may be when then tool is completed by the clinician. That timing is generally documented as a point in time (dateTime)."
                                      • Elements differ in definition: "For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked." "Clinical relevant time for an assessment such as functional assessments performed with structured evaluation tools is the time the evaluation occurs, i.e., when the clinician obtains the answers entered in the tool. However, the only timing available may be when then tool is completed by the clinician. That timing is generally documented as a point in time (dateTime)."
                                      • Elements differ in comments: "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] datatype which allow the measurement to be tied to regular life events." "The use of effective[x] and dateTime versus Period is subject to implementer workflow and needs. In most situations, an observation is considered as a point in time, even if the assessment occurred over a period of time. Period is included in this implementation guide to provide additional flexibility for specific use cases. However, it is expected most observations will be recorded using DateTime. Furthermore, any retrieval of information should return the relevant if DateTime is requested, even if the original observation was recorded as a period. Some implementers may choose to use additional functions in there retrieves to 'normalize' intervals, as is done in Clinical Quality Language (CQL)."
                                      • Elements differ in definition for mustSupport: "true" "false"
                                      ... issued ΣΣ
                                      • Elements differ in short: "Date/Time this version was made available" "Currently not used in FunctionalStatusCollection."
                                      ... performer ΣΣ
                                      • Elements differ in short: "Who is responsible for the observation" "The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization."
                                      ... value[x] SΣIΣI
                                      • Elements differ in short: "Result Value" "If used, should use the CodeableConcept datatype whenever possible to provide a suitable code to define the concept for the observation data. When capturing a collection of related observations, typically this field is not used. If the outcome of an assessment includes one or more summary scores, leave this field unused and use the 'hasMember' field to point to one or more Observation resources with each of which has a score provided in the 'value' field."
                                      • Elements differ in definition: "The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification." "The information determined as a result of making the observation, if the information has a simple value."
                                      • Elements differ in definition for mustSupport: "true" "false"
                                      ... dataAbsentReason SII
                                      • Elements differ in short: "Why the result is missing" "Currently not used in FunctionalStatusCollection."
                                      • Elements differ in definition for mustSupport: "true" "false"
                                      ... interpretation
                                      • Elements differ in short: "High, low, normal, etc." "Currently not used in FunctionalStatusCollection."
                                      ... note
                                        ... bodySite
                                        • Elements differ in short: "Observed body part" "Currently not used in FunctionalStatusCollection."
                                        ... method
                                        • Elements differ in short: "How it was done" "Currently not used in FunctionalStatusCollection."
                                        ... specimen
                                        • Elements differ in short: "Specimen used for this observation" "Currently not used in FunctionalStatusCollection."
                                        ... device
                                        • Elements differ in short: "(Measurement) Device" "Currently not used in FunctionalStatusCollection."
                                        ... referenceRange II
                                        • Elements differ in short: "Provides guide for interpretation" "Currently not used in FunctionalStatusCollection."
                                        .... id
                                          .... extension ExtensionExtension
                                            .... modifierExtension ?!Σ?!Σ
                                              .... low II
                                                .... high II
                                                  .... type
                                                    .... appliesTo
                                                      .... age
                                                        .... text
                                                          ... hasMember ΣSΣ
                                                          • Elements differ in short: "Related resource that belongs to the Observation group" "Each functional status observation in the collection."
                                                          • Elements differ in definition for mustSupport: "false" "true"
                                                          ... derivedFrom ΣSΣ
                                                          • Elements differ in short: "Related measurements the observation is made from" "Should point back to the SDC QuestionnaireResponse that this resource is derived from."
                                                          • Elements differ in definition for mustSupport: "false" "true"
                                                          • 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]]) Reference([CanonicalType[http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse]])
                                                          ... component ΣΣ
                                                          • Elements differ in short: "Component results" "Currently not used in FunctionalStatusCollection."
                                                          .... id
                                                            .... extension ExtensionExtension
                                                              .... modifierExtension ?!Σ?!Σ
                                                                .... code ΣΣ
                                                                  .... value[x] ΣΣ
                                                                    .... dataAbsentReason II
                                                                      .... interpretation
                                                                        .... referenceRange

                                                                          doco Documentation for this format