Profile Comparison between http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse vs http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse

Left:SDOHCC Observation Screening Response (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse)
Right:SDOHCC Observation Screening Response (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse)

Messages

ErrorStructureDefinition.versionValues for version differ: '2.2.0' vs '2.3.0-draft'
InformationStructureDefinition.dateValues for date differ: '2024-08-27T16:55:54+00:00' vs '2024-11-08T15:52:23+00:00'
InformationStructureDefinition.shortValues for short differ: 'SDOH screening questionnaire observations' vs 'Survey Observation'
InformationStructureDefinition.requirementsValues for requirements differ: 'To identify that an SDOH observation screening response is derived from an SDOH questionnaire, the “social-history” and “survey” codes are required.' vs 'Used for filtering what observations are retrieved and displayed.'
WarningObservation.categoryElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.commentValues for comment differ: 'Cardinality is 1..1.' vs 'One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.'
ErrorObservation.performerType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson]])
InformationStructureDefinition.commentValues for comment differ: 'An observation exists to have a value, though it might not if it is in error, if it represents a group of observations, or if a reason for its omission is captured by Observation.dataAbsentReason.' vs 'An observation may have a value if it represents an individual survey, screening, or assessment question and answer pair. An observation should not have a value if it represents a multi-question or multi-select “check all that apply” responses. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.'
InformationStructureDefinition.definitionValues for definition differ: 'References the child observations of a grouping observation.' vs 'Aggregate set of Observations that represent question answer pairs for both multi-question surveys, screenings, and assessments and multi-select questions.'
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 'This grouping element is used to represent surveys, screenings, and assessments that group several questions together or individual questions with “check all that apply” responses. For example in the simplest case a flat multi-question survey where the 'panel' observation is the survey instrument itself and instead of an `Observation.value` the `hasMember` element references other Observation that represent the individual questions answer pairs. When there is a heirarchical grouping of questions, the observation 'panels' can be nested. Because surveys, screenings, and assessments can be arbitrarily complex structurally, not all structures can be represented using this Observation grouping pattern.'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      .copyright
        .date2024-08-27T16:55:54+00:002024-11-08T15:52:23+00:00
        • Values Differ
        .descriptionProfile for observations that represent question and answer pairs from Social Determinants of Health (SDOH) screening instruments.
          .experimental
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindresource
                    .nameSDOHCCObservationScreeningResponse
                      .publisherHL7 International / Patient Care
                        .purpose
                          .statusactive
                            .titleSDOHCC Observation Screening Response
                              .typeObservation
                                .urlhttp://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse
                                  .version2.2.02.3.0-draft
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  .. Observation C0..*ObservationSDOH screening questionnaire observations
                                  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..*ObservationSurvey Observation
                                  obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
                                  obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
                                  us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must 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..1codefinal | corrected | entered-in-error | unknown
                                                          Binding: ?? (required)
                                                          ?!SΣ1..1codefinal | corrected | entered-in-error | unknown
                                                          Binding: ?? (required)
                                                            ... Slices for category 2..*CodeableConceptClassification of type of observation
                                                            Slice: Unordered, Open by value:$this
                                                            Binding: ?? (preferred): Codes for high level observation categories.


                                                            S2..*CodeableConceptClassification of type of observation
                                                            Slice: Unordered, Open by pattern:$this
                                                            Binding: ?? (preferred): Codes for high level observation categories.


                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                            ... code SΣ1..1CodeableConceptType of observation (code / type)
                                                            Binding: ?? (required): Codes identifying names of simple observations.

                                                            Additional BindingsPurposeUsage
                                                            ??ExtensibleObservation.category = digital-access
                                                            ??RequiredObservation.category = digital-literacy
                                                            ??ExtensibleObservation.category = educational-attainment
                                                            ??ExtensibleObservation.category = elder-abuse
                                                            ??ExtensibleObservation.category = employment-status
                                                            ??ExtensibleObservation.category = financial-insecurity
                                                            ??ExtensibleObservation.category = food-insecurity
                                                            ??ExtensibleObservation.category = health-insurance-coverage-status
                                                            ??ExtensibleObservation.category = homelessness
                                                            ??ExtensibleObservation.category = housing-instability
                                                            ??ExtensibleObservation.category = inadequate-housing
                                                            ??ExtensibleObservation.category = intimate-partner-violence
                                                            ??ExtensibleObservation.category = material-hardship
                                                            ??ExtensibleObservation.category = medical-cost-burden
                                                            ??ExtensibleObservation.category = personal-health-literacy
                                                            ??ExtensibleObservation.category = social-connection
                                                            ??ExtensibleObservation.category = stress
                                                            ??ExtensibleObservation.category = transportation-insecurity
                                                            ??ExtensibleObservation.category = utility-insecurity
                                                            ??ExtensibleObservation.category = veteran-status
                                                            ??RequiredObservation.category = sdoh-category-unspecified
                                                            SΣ1..1CodeableConceptType of observation (code / type)
                                                            Binding: ?? (required): Codes identifying names of simple observations.

                                                            Additional BindingsPurposeUsage
                                                            ??ExtensibleObservation.category = digital-access
                                                            ??RequiredObservation.category = digital-literacy
                                                            ??ExtensibleObservation.category = educational-attainment
                                                            ??ExtensibleObservation.category = elder-abuse
                                                            ??ExtensibleObservation.category = employment-status
                                                            ??ExtensibleObservation.category = financial-insecurity
                                                            ??ExtensibleObservation.category = food-insecurity
                                                            ??ExtensibleObservation.category = health-insurance-coverage-status
                                                            ??ExtensibleObservation.category = homelessness
                                                            ??ExtensibleObservation.category = housing-instability
                                                            ??ExtensibleObservation.category = inadequate-housing
                                                            ??ExtensibleObservation.category = intimate-partner-violence
                                                            ??ExtensibleObservation.category = material-hardship
                                                            ??ExtensibleObservation.category = medical-cost-burden
                                                            ??ExtensibleObservation.category = personal-health-literacy
                                                            ??ExtensibleObservation.category = social-connection
                                                            ??ExtensibleObservation.category = stress
                                                            ??ExtensibleObservation.category = transportation-insecurity
                                                            ??ExtensibleObservation.category = utility-insecurity
                                                            ??ExtensibleObservation.category = veteran-status
                                                            ??RequiredObservation.category = sdoh-category-unspecified
                                                              ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
                                                                ... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                  ... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                                    ... effective[x] SΣ1..1dateTime, PeriodClinically relevant time/time-period for observationSΣC1..1dateTime S, PeriodClinically relevant time/time-period for observation
                                                                    us-core-1: Datetime must be at least to day.
                                                                      ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                                        ... performer SΣ0..*Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile)Who is responsible for the observation
                                                                        SΣ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is responsible for the observation
                                                                        • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson]])
                                                                        ... Slices for value[x] SΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                                        Slice: Unordered, Open by type:$this
                                                                        SΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                                        Slice: Unordered, Open by type:$this
                                                                        us-core-3: SHALL use UCUM for coded quantity units.
                                                                          ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                                          Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                          SC0..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
                                                                              0..*AnnotationComments about the observation
                                                                                ... bodySite 0..00..0
                                                                                  ... 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..00..0
                                                                                      ... 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
                                                                                                            ... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)References the child observations of a grouping observation
                                                                                                            Slice: Unordered, Open by profile:$this.resolve()
                                                                                                            SΣ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)References the child observations of a grouping observation
                                                                                                            Slice: Unordered, Open by profile:$this.resolve()
                                                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                                            ... Slices for derivedFrom SΣ0..*Reference(DocumentReference | QuestionnaireResponse | Observation)Related measurements the observation is made from
                                                                                                            Slice: Unordered, Open by profile:$this.resolve()
                                                                                                            SΣ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                            Slice: Unordered, Open by profile:$this.resolve()
                                                                                                              ... component Σ0..*BackboneElementComponent results
                                                                                                              Σ0..*BackboneElementComponent results
                                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                      .... code Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                                      Binding: ?? (example): Codes identifying names of simple observations.

                                                                                                                      Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                                      Binding: ?? (example): Codes identifying names of simple observations.

                                                                                                                        .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                                          .... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                                                          Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                                          C0..1CodeableConceptWhy the component result is missing
                                                                                                                          Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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


                                                                                                                              .... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                                              0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                                                doco Documentation for this format