Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation vs http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalTestObservation

Left:US Core Observation Sexual Orientation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation)
Right:Multiple Chronic Condition Care Plan Clinical Test Observation (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalTestObservation)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation' vs 'http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalTestObservation'
ErrorStructureDefinition.versionValues for version differ: '6.0.0-ballot' vs '1.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'USCoreObservationSexualOrientationProfile' vs 'MCCClinicalTestObservation'
InformationStructureDefinition.titleValues for title differ: 'US Core Observation Sexual Orientation Profile' vs 'Multiple Chronic Condition Care Plan Clinical Test Observation'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2022-12-04T03:53:47+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Patient Care WG'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test'
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.categoryElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.categoryElement minimum cardinalities differ: '0' vs '1'
WarningObservation.codeElements differ in short: 'Sexual Orientation' vs 'Clinical Test Name'
WarningObservation.codeElements differ in definition: 'Describes what was observed. Sometimes this is called the observation 'name'.' vs 'The name of the non-imaging or non-laboratory test performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
WarningObservation.codeElements differ in comments: '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.' vs 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.'
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.value[x]Elements differ in short: 'Actual result' vs 'Result Value'
WarningObservation.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observationhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test
    • Values Differ
    .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'
    .date2022-04-202022-12-04T03:53:47+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 use cases.This profile constrains [US Core Clinical Test Observation Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test) for use in the MCC FHIR Care Plan or other FHIR Care Plans. It is using Observation resource to record, search, and fetch Observations where the Observation is neither a laboratory, imaging, vital sign, social history, sexual orientation, survey, SDOH assesment, nor a smoking status observation. 'Echocardiogram' is an example observation which would use the MCC Clinical Test profile.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCoreObservationSexualOrientationProfileMCCClinicalTestObservation
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International - Patient Care WG
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Observation Sexual Orientation ProfileMultiple Chronic Condition Care Plan Clinical Test Observation
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientationhttp://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalTestObservation
                  • Values Differ
                  .version6.0.0-ballot1.0.0-ballot
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation C0..*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
                  C0..*USCoreObservationClinicalTestResultProfileMeasurements and simple assertions
                    ... id Σ0..1idLogical id of this artifactΣ0..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: 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)
                                        ?!SΣ1..1coderegistered | preliminary | final | amended +
                                        Binding: ObservationStatus (required): Codes providing the status of an observation.

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


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


                                          • Elements differ in definition for mustSupport: 'false' vs 'true'
                                          • Element minimum cardinalities differ: '0' vs '1'
                                          ... code SΣ1..1CodeableConceptSexual Orientation
                                          Binding: LOINCCodes (example): Codes identifying names of simple observations.


                                          Required Pattern: {"coding":[{"system":"http://loinc.org","code":"76690-7"}]}
                                          SΣ1..1CodeableConceptClinical Test Name
                                          Binding: US Core Clinical Test Codes (extensible)
                                          • Elements differ in short: 'Sexual Orientation' vs 'Clinical Test Name'
                                          • Elements differ in definition: 'Describes what was observed. Sometimes this is called the observation "name".' vs 'The name of the non-imaging or non-laboratory test performed on a patient. A LOINC **SHALL** be used if the concept is present in LOINC.'
                                          • Elements differ in comments: '*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.' vs 'The typical patterns for codes are: 1) a LOINC code either as a translation from a "local" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.'
                                          ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)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] SΣ0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observationSΣC0..1dateTime S, 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.'
                                                ... 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] ΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                    Slice: Unordered, Open by type:$this
                                                    SΣC0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
                                                    • Elements differ in short: 'Actual result' vs 'Result Value'
                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                    ... dataAbsentReason C0..1CodeableConceptWhy the result is missing
                                                    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                    SC0..1CodeableConceptWhy the result is missing
                                                    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                    • 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 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..1SimpleQuantityLow Range, if relevantC0..1SimpleQuantityLow Range, if relevant
                                                                          .... high C0..1SimpleQuantityHigh Range, if relevantC0..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
                                                                                    Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                      ... 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 C0..1CodeableConceptWhy the component result is missing
                                                                                                    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                                    C0..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