Profile Comparison between http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result vs http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result

Left:Observation - At-Home In-Vitro Test Result (http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result)
Right:Observation - At-Home In-Vitro Test Result (http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.0-ballot' vs '1.0.0'
InformationStructureDefinition.dateValues for date differ: '2022-08-05T13:22:46+00:00' vs '2023-03-25T16:46:40+00:00'
WarningObservation.extensionElements differ in short: 'Additional content defined by implementations' vs 'Extension - At-Home In-Vitro Test Proctored Information'
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 'Information about whether or not the test was proctored and who the proctor was.'
InformationObservation.extensionElement maximum cardinalities differ: '2147483647' vs '1'
WarningObservation.codeElements differ in short: 'At Home Tests' vs 'Consult LIVD: https://www.cdc.gov/csels/dls/livd-codes.html to obtain the values to be used for each particular use case.'
WarningObservation.effective[x]Elements differ in short: 'The effectiveTime SHALL be precise to at least the minute and SHALL include a time zone offset' vs 'Clinically relevant time/time-period for observation'
WarningObservation.issuedElements differ in definition: 'The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.' vs 'Test result date released: This should be populated with the test result date released, which, in the at-home setting, will mostly be the same as the Observation.effective[x], however, it could be different when a proctor is involved and releases the result. It is mapped to HL7 V2 OBR 22 because it is the required field in the message.'
WarningObservation.hasMemberElements differ in short: 'Related resource that belongs to the Observation group' vs 'Multiplex Assay tests that serve as a single test to diagnose infection caused by multiple viruses (e.g. CDC Flu SC2 Multiplex Assay for SARS-CoV-2, influenza A, and/or influenza B viruses) should be recorded using multiple Observation.hasMember elements.'
WarningObservation.componentElements differ in short: 'Multiplex Assay tests that serve as a single test to diagnose infection caused by multiple viruses (e.g. CDC Flu SC2 Multiplex Assay for SARS-CoV-2, influenza A, and/or influenza B viruses) should be recorded using multiple Observation.component elements.' vs 'Component results'
WarningObservation.componentElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.codeElements differ in short: 'At Home Tests' vs 'Type of component observation (code / type)'
WarningObservation.component.codeElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.component.value[x]Elements differ in short: 'At-Home Test Result Value' vs 'Actual component result'
WarningObservation.component.value[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.component.value[x]Element minimum cardinalities differ: '1' vs '0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
      .copyright
        .date2022-08-05T13:22:46+00:002023-03-25T16:46:40+00:00
        • Values Differ
        .descriptionThis profile constrains the US Core Laboratory Result Observation to At-Home In-Vitro Sample Tests.
          .experimental
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindresource
                    .nameObservationAtHomeInVitroTestResult
                      .publisherOrders and Observations
                        .purpose
                          .statusactive
                            .titleObservation - At-Home In-Vitro Test Result
                              .typeObservation
                                .urlhttp://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result
                                  .version1.0.0-ballot1.0.0
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                                  .. Observation C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
                                  C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
                                    ... id SΣ1..1stringLogical id of this artifactSΣ1..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-at-home-in-vitro-test-proctored-info 0..*ExtensionAdditional content defined by implementations
                                                0..1(Complex)Extension - At-Home In-Vitro Test Proctored Information
                                                URL: http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-at-home-in-vitro-test-proctored-info
                                                • Elements differ in short: 'Additional content defined by implementations' vs 'Extension - At-Home In-Vitro Test Proctored Information'
                                                • 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 'Information about whether or not the test was proctored and who the proctor was.'
                                                • Element maximum cardinalities differ: '2147483647' vs '1'
                                                ... 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: ?? (required)
                                                        Fixed Value: final
                                                        ?!SΣ1..1coderegistered | preliminary | final | amended +
                                                        Binding: ?? (required)
                                                        Fixed Value: final
                                                          ... Slices for category S1..*CodeableConceptClassification of type of observation
                                                          Slice: Unordered, Open by pattern:$this
                                                          Binding: ?? (preferred): Codes for high level observation categories.


                                                          S1..*CodeableConceptClassification of type of observation
                                                          Slice: Unordered, Open by pattern:$this
                                                          Binding: ?? (preferred): Codes for high level observation categories.


                                                            ... code SΣ1..1CodeableConceptAt Home Tests
                                                            Binding: ?? (extensible): LOINC codes

                                                            SΣ1..1CodeableConceptConsult LIVD: https://www.cdc.gov/csels/dls/livd-codes.html to obtain the values to be used for each particular use case.
                                                            Binding: ?? (extensible): LOINC codes

                                                            • Elements differ in short: 'At Home Tests' vs 'Consult LIVD: https://www.cdc.gov/csels/dls/livd-codes.html to obtain the values to be used for each particular use case.'
                                                            ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(Patient - At Home In Vitro Test)Who and/or what the observation is about
                                                              ... focus ΣTU0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                              ΣTU0..*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] SΣC1..1dateTimeThe effectiveTime SHALL be precise to at least the minute and SHALL include a time zone offsetSΣC1..1dateTimeClinically relevant time/time-period for observation
                                                                  • Elements differ in short: 'The effectiveTime SHALL be precise to at least the minute and SHALL include a time zone offset' vs 'Clinically relevant time/time-period for observation'
                                                                  ... issued SΣ0..1instantTest result date releasedSΣ0..1instantTest result date released
                                                                  • Elements differ in definition: 'The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.' vs 'Test result date released: This should be populated with the test result date released, which, in the at-home setting, will mostly be the same as the Observation.effective[x], however, it could be different when a proctor is involved and releases the result. It is mapped to HL7 V2 OBR 22 because it is the required field in the message.'
                                                                  ... performer SΣ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)If the performer is not the patient being tested, specify the person performing the test.
                                                                  SΣ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)If the performer is not the patient being tested, specify the person performing the test.
                                                                    ... value[x] SΣC0..1CodeableConceptAt-Home Test Result ValueSΣC0..1CodeableConceptAt-Home Test Result Value
                                                                      ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                                      Binding: ?? (extensible)
                                                                      SC0..1CodeableConceptWhy the result is missing
                                                                      Binding: ?? (extensible)
                                                                        ... 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..1CodeableConceptObserved body part
                                                                            Binding: ?? (example): Codes describing anatomical locations. May include laterality.

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

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

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

                                                                                ... specimen S1..1Reference(Specimen - At-Home In-Vitro Test)The Specimen SHALL be from at-home sample.S1..1Reference(Specimen - At-Home In-Vitro Test)The Specimen SHALL be from at-home sample.
                                                                                  ... device S1..1Reference(Device - At-Home In-Vitro Test)The referenced device SHALL be at-home test device.S1..1Reference(Device - At-Home In-Vitro Test)The referenced device SHALL be at-home test device.
                                                                                    ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                                    C0..*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 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
                                                                                                        ... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                        Σ0..*Reference(Observation - At-Home In-Vitro Test Result)Multiplex Assay tests that serve as a single test to diagnose infection caused by multiple viruses (e.g. CDC Flu SC2 Multiplex Assay for SARS-CoV-2, influenza A, and/or influenza B viruses) should be recorded using multiple Observation.hasMember elements.
                                                                                                        • Elements differ in short: 'Related resource that belongs to the Observation group' vs 'Multiplex Assay tests that serve as a single test to diagnose infection caused by multiple viruses (e.g. CDC Flu SC2 Multiplex Assay for SARS-CoV-2, influenza A, and/or influenza B viruses) should be recorded using multiple Observation.hasMember elements.'
                                                                                                        ... 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 SΣ0..*BackboneElementMultiplex Assay tests that serve as a single test to diagnose infection caused by multiple viruses (e.g. CDC Flu SC2 Multiplex Assay for SARS-CoV-2, influenza A, and/or influenza B viruses) should be recorded using multiple Observation.component elements.
                                                                                                          Σ0..*BackboneElementComponent results
                                                                                                          • Elements differ in short: 'Multiplex Assay tests that serve as a single test to diagnose infection caused by multiple viruses (e.g. CDC Flu SC2 Multiplex Assay for SARS-CoV-2, influenza A, and/or influenza B viruses) should be recorded using multiple Observation.component elements.' vs 'Component results'
                                                                                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                          .... 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 SΣ1..1CodeableConceptAt Home Tests
                                                                                                                Binding: ?? (example): Codes identifying names of simple observations.

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

                                                                                                                • Elements differ in short: 'At Home Tests' vs 'Type of component observation (code / type)'
                                                                                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                                .... value[x] SΣ1..1CodeableConceptAt-Home Test Result ValueΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                                • Elements differ in short: 'At-Home Test Result Value' vs 'Actual component result'
                                                                                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                                • Element minimum cardinalities differ: '1' vs '0'
                                                                                                                .... 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