Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/oxygensat	http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs	Values Differ
copyright		Used by permission of HL7 International, all rights reserved Creative Commons License	Added the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2020-06-29	2022-04-20	Values Differ
description	Defines constraints and extensions on the Observation resource for use in querying and retrieving inspired O2 by pulse oximetry observations.	To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch pulse oximetry and inspired oxygen observations with a standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCorePulseOximetryProfile
publisher	HL7 US Realm Steering Committee	HL7 International - Cross-Group Projects	Values Differ
purpose
status	active
title	US Core Pulse Oximetry Profile
type	Observation
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry
version	3.1.1	6.1.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Observation	C	0..*	observation-oxygensat	FHIR Oxygen Saturation Profile	C	0..*	USCoreVitalSignsProfile	US Core Pulse Oximetry Profile	Elements differ in short: 'FHIR Oxygen Saturation Profile' vs 'US Core Pulse Oximetry Profile' Elements differ in definition: 'This profile defines how to represent pulse oximetry and inspired oxygen concentration based on the FHIR Core Vitals Profile. INSPIRED OXYGEN CONCENTRATION observations in FHIR using a standard LOINC code and UCUM units of measure.' vs '\-' Elements differ in comments: 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.' vs '\-'
id	Σ	0..1	string	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	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ?? (required)	?!SΣ	1..1	code	(USCDI) registered | preliminary | final | amended + Binding: ?? (required)	Elements differ in short: 'registered | preliminary | final | amended +' vs '(USCDI) registered | preliminary | final | amended +'
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories.	S	1..*	CodeableConcept	(USCDI) Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories.	Elements differ in short: 'Classification of type of observation' vs '(USCDI) Classification of type of observation'
code	SΣ	1..1	CodeableConcept	Oxygen Saturation by Pulse Oximetry Binding: ?? (extensible): This identifies the vital sign result type.	SΣ	1..1	CodeableConcept	(USCDI) Oxygen Saturation by Pulse Oximetry Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.	Elements differ in short: 'Oxygen Saturation by Pulse Oximetry' vs '(USCDI) Oxygen Saturation by Pulse Oximetry' Elements differ in definition: 'Oxygen Saturation.' vs 'Coded Responses from C-CDA Vital Sign Results.' Elements differ in comments: 'The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood -).' vs 'The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood).' Elements differ in description: 'This identifies the vital sign result type.' vs 'The vital sign codes from the base FHIR and US Core Vital Signs.' Elements differ in description: 'This identifies the vital sign result type.' vs 'The vital sign codes from the base FHIR and US Core Vital Signs.'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system	SΣ	2..*	Coding	(USCDI) Code defined by a terminology system Slice: Unordered, Open by pattern:$this	Elements differ in short: 'Code defined by a terminology system' vs '(USCDI) Code defined by a terminology system' Element minimum cardinalities differ: '0' vs '2'
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who and/or what the observation is about	Elements differ in short: 'Who and/or what the observation is about' vs '(USCDI) Who and/or what the observation is about'
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣC	1..1	dateTime, Period	Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	SΣC	1..1	dateTime S, Period	(USCDI) Often just a dateTime for Vital Signs	Elements differ in short: 'Often just a dateTime for Vital Signs' vs '(USCDI) Often just a dateTime for Vital Signs'
issued	Σ	0..1	instant	Date/Time this version was made available	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this	SΣC	0..1	Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	(USCDI) Vital Signs Value Slice: Unordered, Open by type:$this Binding: ?? (extensible): Common UCUM units for recording Vital Signs.	Elements differ in short: 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' vs '(USCDI) Vital Signs Value' Elements differ in definition: 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' vs 'Vital Signs value are typically recorded using the Quantity data type.'
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	SC	0..1	CodeableConcept	(USCDI) Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	Elements differ in short: 'Why the result is missing' vs '(USCDI) Why the result 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
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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components	Σ	0..*	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
Slices for component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by pattern:code	SΣC	0..*	BackboneElement	(USCDI) Used when reporting flow rates or oxygen concentration. Slice: Unordered, Open by pattern:code	Elements differ in short: 'Used when reporting systolic and diastolic blood pressure.' vs '(USCDI) Used when reporting flow rates or oxygen concentration.' Elements differ in definition: 'Used when reporting systolic and diastolic blood pressure.' vs 'Used when reporting flow rates or oxygen concentration.'
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	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ?? (extensible): This identifies the vital sign result type.	SΣ	1..1	CodeableConcept	(USCDI) Type of component observation (code / type) Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.	Elements differ in short: 'Type of component observation (code / type)' vs '(USCDI) Type of component observation (code / type)' Elements differ in description: 'This identifies the vital sign result type.' vs 'The vital sign codes from the base FHIR and US Core Vital Signs.' Elements differ in description: 'This identifies the vital sign result type.' vs 'The vital sign codes from the base FHIR and US Core Vital Signs.'
value[x]	SΣC	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Vital Sign Value recorded with UCUM Binding: ?? (required): Common UCUM units for recording Vital Signs.	SΣC	0..1	Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	(USCDI) Vital Sign Component Value Binding: ?? (extensible): Common UCUM units for recording Vital Signs.	Elements differ in short: 'Vital Sign Value recorded with UCUM' vs '(USCDI) Vital Sign Component Value' Elements differ in definition: 'Vital Sign Value recorded with UCUM.' vs 'Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept.'
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	SC	0..1	CodeableConcept	(USCDI) Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	Elements differ in short: 'Why the component result is missing' vs '(USCDI) Why the component result 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	Provides guide for interpretation of component result		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format