## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation vs http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death

Left: | US Core Observation Sexual Orientation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation)
Right: | Entity Axis Cause Of Death (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation' vs 'http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death'
Error | StructureDefinition.version | Values for version differ: '7.0.0' vs '3.0.0'
Information | StructureDefinition.name | Values for name differ: 'USCoreObservationSexualOrientationProfile' vs 'EntityAxisCauseOfDeath'
Information | StructureDefinition.title | Values for title differ: 'US Core Observation Sexual Orientation Profile' vs 'Entity Axis Cause Of Death'
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2024-10-23T21:53:18+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Public Health'
Warning | Observation.status | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Sexual Orientation' vs 'Cause of death entity axis code [Automated]'
Warning | Observation.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Who and/or what the observation is about' vs 'Decedent'
Warning | Observation.subject | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.subject | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Clinically relevant time/time-period for observation' vs 'Date/Time when added to death record'
Information | StructureDefinition.definition | Values for definition differ: 'This records the time during which the patient had identified their emotional, romantic, sexual, or affectional attraction to another person.' 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'. 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.'
Warning | Observation.effective[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Observation.value[x] | Element minimum cardinalities differ: '0' vs '1'
Information | StructureDefinition.comment | Values for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.'
Information | Observation.component | Element minimum cardinalities differ: '0' vs '2'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation |
copyright | Used 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'
date | 2023-10-17 | 2024-10-23T21:53:18+00:00 | Values Differ
description | The US Core Observation Sexual Orientation Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Sexual Orientation* Data Element. It sets minimum expectations for the Observation resource to record, search, and fetch sexual orientation observations associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | Entity Axis Cause Of Death (Observation): Up to 20 of instances of this profile may be included in a coding bundle. Each instance is labeled with its lineNumber, Position and e-code indicator. Entity Axis codes represent the raw data as originally reported on the death certificate by the certifier, maintaining the order and position of conditions as they appeared on the death certificate. They include codes for all causes of death listed, including duplicate codes and potentially contradictory information. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreObservationSexualOrientationProfile | EntityAxisCauseOfDeath | Values Differ
publisher | HL7 International / Cross-Group Projects | HL7 International / Public Health | Values Differ
purpose |  |
status | active |
title | US Core Observation Sexual Orientation Profile | Entity Axis Cause Of Death | Values Differ
type | Observation |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation | http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-entity-axis-cause-of-death | Values Differ
version | 7.0.0 | 3.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation |
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required) | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. | Elements differ in definition for mustSupport: 'true' vs 'false'
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories. |  | 0..* | CodeableConcept | Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories. |
code | S Σ | 1..1 | CodeableConcept | Sexual Orientation Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"76690-7"}]} | Σ | 1..1 | CodeableConcept | Cause of death entity axis code [Automated] Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"80356-9"}]} | Elements differ in definition for mustSupport: 'true' vs 'false'
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | Σ | 0..1 | Reference(Patient - Vital Records) | Decedent | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | S Σ | 0..1 | dateTime S, Period, Timing, instant | Clinically relevant time/time-period for observation | Σ | 0..1 | dateTime | Date/Time when added to death record | Elements differ in definition for mustSupport: 'true' vs 'false'
issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
Slices for value[x] | Σ C | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this | Σ C | 1..1 | CodeableConcept | Actual result Binding: ?? (required) | Element minimum cardinalities differ: '0' vs '1'
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |
note |  | 0..* | Annotation | Comments about the observation |  | 0..* | Annotation | Comments about the observation |
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. |  | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. |
method |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. |  | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. |
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation |  | 0..1 | Reference(Specimen) | Specimen used for this observation |
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant |
high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant |
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. |
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |  | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. |
age |  | 0..1 | Range | Applicable age range, if relevant |  | 0..1 | Range | Applicable age range, if relevant |
text |  | 0..1 | string | Text based reference range in an observation |  | 0..1 | string | Text based reference range in an observation |
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group |
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | Σ | 0..* | BackboneElement | Component results | Σ | 2..* | BackboneElement | Component results Slice: Unordered, Open by value:code | Element minimum cardinalities differ: '0' vs '2'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. |
value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. |  | 0..* | CodeableConcept | High, 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 |
Documentation for this format