Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation vs http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation

Left:US Core Observation Sexual Orientation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation)
Right:RR Relevant Reportable Condition Observation (http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation' vs 'http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation'
ErrorStructureDefinition.versionValues for version differ: '5.0.1' vs '2.1.0'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationSexualOrientationProfile' vs 'RRRelevantReportableConditionObservation'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Sexual Orientation Profile' vs 'RR Relevant Reportable Condition Observation'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2022-08-31T17:40:18+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)'
WarningObservationElements differ in short: 'Measurements and simple assertions' vs 'RR Relevant Reportable Condition Observation'
WarningObservationElements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
WarningObservationElements differ in comments: '\-' vs '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.'
WarningObservation.extensionElements differ in short: 'Additional content defined by implementations' vs '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.' vs 'An Extension'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.codeElements differ in short: 'Sexual Orientation' vs 'Type of observation (code / type)'
WarningObservation.code.codingElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.subjectElement minimum cardinalities differ: '1' vs '0'
WarningObservation.effective[x]Elements differ in definition: '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.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.value[x].codingElements differ in short: 'Code defined by a terminology system' vs 'The condition code shall be selected from SNOMED CT'
WarningObservation.value[x].codingElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.value[x].textElements differ in short: 'Plain text representation of the concept' vs 'Use text if there is no available condition code'
WarningObservation.value[x].textElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.dataAbsentReasonElements differ in short: 'Why the result is missing' vs 'Use 'not-applicable' when eICR manually initiated or no reportable condition identified'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.hasMemberElement minimum cardinalities differ: '0' vs '1'

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'
      .date2022-04-202022-08-31T17:40:18+00:00
      • Values Differ
      .descriptionThe US Core Observation Sexual Orientation Profile meets the U.S. Core Data for Interoperability (USCDI) v2 'Sexual Orientation' requirements. this profile sets minimum expectations for the Observation resource to record, search, and fetch sexual orientation observations 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.This profile represents a relevant reportable condition.
      • Values Differ
      .experimentalfalse
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreObservationSexualOrientationProfileRRRelevantReportableConditionObservation
                • Values Differ
                .publisherHL7 International - Cross-Group ProjectsHL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)
                • Values Differ
                .purpose
                  .statusactive
                    .titleUS Core Observation Sexual Orientation ProfileRR Relevant Reportable Condition Observation
                    • Values Differ
                    .typeObservation
                      .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientationhttp://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation
                      • Values Differ
                      .version5.0.12.1.0
                      • Values Differ

                      Structure

                      NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                      .. Observation I0..*ObservationMeasurements and simple assertions
                      us-core-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present
                      I0..*ObservationRR Relevant Reportable Condition Observation
                      • Elements differ in short: 'Measurements and simple assertions' vs 'RR Relevant Reportable Condition Observation'
                      • Elements differ in definition: '\-' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                      • Elements differ in comments: '\-' vs '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.'
                      ... 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..*ExtensionExtension
                                  Slice: Unordered, Open by value:url
                                  • Elements differ in short: 'Additional content defined by implementations' vs '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.' vs 'An Extension'
                                  ... 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..1coderegistered | preliminary | final | amended +
                                          Binding: ObservationStatus (required)
                                          ?!Σ1..1coderegistered | preliminary | final | amended +
                                          Binding: ObservationStatus (required): Codes providing the status of an observation.


                                          Fixed Value: final
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... category 0..*CodeableConceptClassification of type of observation
                                          Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                          0..*CodeableConceptClassification of type of observation
                                          Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                            ... code SΣ1..1CodeableConceptSexual Orientation
                                            Binding: LOINCCodes (example): Codes identifying names of simple observations.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"76690-7"}]}
                                            SΣ1..1CodeableConceptType of observation (code / type)
                                            Binding: LOINCCodes (example): Codes identifying names of simple observations.

                                            • Elements differ in short: 'Sexual Orientation' vs 'Type of observation (code / type)'
                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                              0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                                .... coding Σ0..*CodingCode defined by a terminology system
                                                SΣ0..*CodingCode defined by a terminology system
                                                Slice: Unordered, Open by value:code
                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                                  ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutΣ0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
                                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                  • Element minimum cardinalities differ: '1' vs '0'
                                                  ... 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] SΣI0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                                      us-core-1: Datetime must be at least to day.
                                                      Σ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                      • Elements differ in definition: '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.'
                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                        ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                        Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                          ... Slices for value[x] ΣI0..1CodeableConceptActual result
                                                          Slice: Unordered, Closed by type:$this
                                                          SΣI0..1CodeableConceptActual result
                                                          • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                            .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                            Slice: Unordered, Open by value:url
                                                            0..*ExtensionAdditional content defined by implementations
                                                            Slice: Unordered, Open by value:url
                                                              .... coding Σ0..*CodingCode defined by a terminology system
                                                              SΣ0..*CodingThe condition code shall be selected from SNOMED CT
                                                              • Elements differ in short: 'Code defined by a terminology system' vs 'The condition code shall be selected from SNOMED CT'
                                                              • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                              ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                ..... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                Slice: Unordered, Open by value:url
                                                                0..*ExtensionAdditional content defined by implementations
                                                                Slice: Unordered, Open by value:url
                                                                  ..... system Σ0..1uriIdentity of the terminology systemΣ0..1uriIdentity of the terminology system
                                                                  Fixed Value: http://snomed.info/sct
                                                                    ..... version Σ0..1stringVersion of the system - if relevantΣ0..1stringVersion of the system - if relevant
                                                                      ..... code Σ0..1codeSymbol in syntax defined by the systemΣ0..1codeSymbol in syntax defined by the system
                                                                        ..... display Σ0..1stringRepresentation defined by the systemΣ0..1stringRepresentation defined by the system
                                                                          ..... userSelected Σ0..1booleanIf this coding was chosen directly by the userΣ0..1booleanIf this coding was chosen directly by the user
                                                                            .... text Σ0..1stringPlain text representation of the conceptSΣ0..1stringUse text if there is no available condition code
                                                                            • Elements differ in short: 'Plain text representation of the concept' vs 'Use text if there is no available condition code'
                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                            ... dataAbsentReason I0..1CodeableConceptWhy the result is missing
                                                                            Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                            SI0..1CodeableConceptUse 'not-applicable' when eICR manually initiated or no reportable condition identified
                                                                            Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                            • Elements differ in short: 'Why the result is missing' vs 'Use 'not-applicable' when eICR manually initiated or no reportable condition identified'
                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                            ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                            Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


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


                                                                              ... note 0..*AnnotationComments about the observation
                                                                              0..*AnnotationComments about the observation
                                                                                ... bodySite 0..1CodeableConceptObserved body part
                                                                                Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

                                                                                0..1CodeableConceptObserved body part
                                                                                Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

                                                                                  ... method 0..1CodeableConceptHow it was done
                                                                                  Binding: ObservationMethods (example): Methods for simple observations.

                                                                                  0..1CodeableConceptHow it was done
                                                                                  Binding: ObservationMethods (example): Methods for simple observations.

                                                                                    ... specimen 0..1Reference(Specimen)Specimen used for this observation0..1Reference(Specimen)Specimen used for this observation
                                                                                      ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(Device | DeviceMetric)(Measurement) Device
                                                                                        ... referenceRange I0..*BackboneElementProvides guide for interpretation
                                                                                        I0..*BackboneElementProvides guide for interpretation
                                                                                          .... 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 I0..1SimpleQuantityLow Range, if relevantI0..1SimpleQuantityLow Range, if relevant
                                                                                                  .... high I0..1SimpleQuantityHigh Range, if relevantI0..1SimpleQuantityHigh Range, if relevant
                                                                                                    .... type 0..1CodeableConceptReference range qualifier
                                                                                                    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                                                                    0..1CodeableConceptReference range qualifier
                                                                                                    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

                                                                                                      .... appliesTo 0..*CodeableConceptReference range population
                                                                                                      Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


                                                                                                      0..*CodeableConceptReference range population
                                                                                                      Binding: ObservationReferenceRangeAppliesToCodes (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
                                                                                                            ... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                            SΣ1..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                            Slice: Unordered, Open by profile:resolve()
                                                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                                            • Element minimum cardinalities differ: '0' vs '1'
                                                                                                            ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                            Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                              ... 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: LOINCCodes (example): Codes identifying names of simple observations.

                                                                                                                      Σ1..1CodeableConceptType of component observation (code / type)
                                                                                                                      Binding: LOINCCodes (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 I0..1CodeableConceptWhy the component result is missing
                                                                                                                          Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                                          I0..1CodeableConceptWhy the component result is missing
                                                                                                                          Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


                                                                                                                            0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                            Binding: ObservationInterpretationCodes (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