Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab

Left:US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab)
Right:US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.0.0' vs '5.0.0'
InformationStructureDefinition.dateValues for date differ: '2019-05-21' vs '2022-04-20'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - US Realm Steering Committee' vs 'HL7 International - Cross-Group Projects'
WarningDiagnosticReportElements differ in definition: 'The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' vs '\-'
WarningDiagnosticReportElements differ in comments: 'This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.' vs '\-'
WarningDiagnosticReport.effective[x]Elements differ in short: 'Clinically relevant time/time-period for report' vs 'Diagnostically relevant time (typically the time of specimen collection)'
InformationDiagnosticReport.effective[x]Element minimum cardinalities differ: '1' vs '0'
WarningDiagnosticReport.issuedElements differ in short: 'DateTime this version was made' vs 'When the report was released'
InformationDiagnosticReport.issuedElement minimum cardinalities differ: '1' vs '0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DiagnosticReport
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
        .date2019-05-212022-04-20
        • Values Differ
        .descriptionDefines constraints and extensions on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory results for a patientLaboratory results are grouped and summarized using the DiagnosticReport resource which typically reference Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values, or a nested panel (such as a microbial susceptibility panel) which references other observations. They can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific uses cases.
        • Values Differ
        .experimentalfalse
          .fhirVersion4.0.1
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
                .kindresource
                  .nameUSCoreDiagnosticReportProfileLaboratoryReporting
                    .publisherHL7 International - US Realm Steering CommitteeHL7 International - Cross-Group Projects
                    • Values Differ
                    .purpose
                      .statusactive
                        .titleUS Core DiagnosticReport Profile for Laboratory Results Reporting
                          .typeDiagnosticReport
                            .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
                              .version4.0.05.0.0
                              • Values Differ

                              Structure

                              NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                              .. DiagnosticReport 0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                              I0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                              us-core-8: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'
                              us-core-9: issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'
                              • Elements differ in definition: 'The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' vs '\-'
                              • Elements differ in comments: 'This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.' vs '\-'
                              ... id Σ0..1stringLogical id of this artifactΣ0..1stringLogical 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: CommonLanguages (preferred): A human language.

                                    Additional BindingsPurpose
                                    AllLanguagesMax Binding
                                    0..1codeLanguage of the resource content
                                    Binding: CommonLanguages (preferred): A human language.

                                    Additional BindingsPurpose
                                    AllLanguagesMax 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 report
                                              Σ0..*IdentifierBusiness identifier for report
                                                ... basedOn 0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
                                                0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
                                                  ... status ?!SΣ1..1coderegistered | partial | preliminary | final +
                                                  Binding: DiagnosticReportStatus (required)
                                                  ?!SΣI1..1coderegistered | partial | preliminary | final +
                                                  Binding: DiagnosticReportStatus (required)
                                                    ... Slices for category SΣ1..*CodeableConceptService category
                                                    Slice: Unordered, Open by pattern:$this
                                                    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


                                                    SΣ1..*CodeableConceptService category
                                                    Slice: Unordered, Open by pattern:$this
                                                    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


                                                      ... code SΣ1..1CodeableConceptUS Core Laboratory Report Order Code
                                                      Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes

                                                      SΣ1..1CodeableConceptUS Core Laboratory Report Order Code
                                                      Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes

                                                        ... subject SΣ1..1Reference(US Core Patient Profile)The subject of the report - usually, but not always, the patientSΣ1..1Reference(US Core Patient Profile)The subject of the report - usually, but not always, the patient
                                                          ... encounter Σ0..1Reference(Encounter)Health care event when test orderedΣ0..1Reference(Encounter)Health care event when test ordered
                                                            ... effective[x] SΣ1..1dateTime S, PeriodClinically relevant time/time-period for reportSΣI0..1dateTime S, PeriodDiagnostically relevant time (typically the time of specimen collection)
                                                            • Elements differ in short: 'Clinically relevant time/time-period for report' vs 'Diagnostically relevant time (typically the time of specimen collection)'
                                                            • Element minimum cardinalities differ: '1' vs '0'
                                                            ... issued SΣ1..1instantDateTime this version was madeSΣI0..1instantWhen the report was released
                                                            • Elements differ in short: 'DateTime this version was made' vs 'When the report was released'
                                                            • Element minimum cardinalities differ: '1' vs '0'
                                                            ... performer SΣ0..*Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile)Responsible Diagnostic Service
                                                            SΣ0..*Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile)Responsible Diagnostic Service
                                                              ... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                                              Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                                                ... specimen 0..*Reference(Specimen)Specimens this report is based on
                                                                0..*Reference(Specimen)Specimens this report is based on
                                                                  ... result S0..*Reference(US Core Laboratory Result Observation Profile)Observations
                                                                  S0..*Reference(US Core Laboratory Result Observation Profile)Observations
                                                                    ... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
                                                                    0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
                                                                      ... media Σ0..*BackboneElementKey images associated with this report
                                                                      Σ0..*BackboneElementKey images associated with this report
                                                                        .... 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
                                                                              .... comment 0..1stringComment about the image (e.g. explanation)0..1stringComment about the image (e.g. explanation)
                                                                                .... link Σ1..1Reference(Media)Reference to the image sourceΣ1..1Reference(Media)Reference to the image source
                                                                                  ... conclusion 0..1stringClinical conclusion (interpretation) of test results0..1stringClinical conclusion (interpretation) of test results
                                                                                    ... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
                                                                                    Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.


                                                                                    0..*CodeableConceptCodes for the clinical conclusion of test results
                                                                                    Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.


                                                                                      ... presentedForm 0..*AttachmentEntire report as issued
                                                                                      0..*AttachmentEntire report as issued

                                                                                        doco Documentation for this format