Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test vs http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-condition

Left:US Core Clinical Test Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test)
Right:Observation - Cause of Death Condition (http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-condition)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test' vs 'http://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-condition'
ErrorStructureDefinition.versionValues for version differ: '4.1.0' vs '1.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'USCoreClinicalTestResultObservationProfile' vs 'ObservationCauseOfDeathCondition'
InformationStructureDefinition.titleValues for title differ: 'US Core Clinical Test Result Observation Profile' vs 'Observation - Cause of Death Condition'
InformationStructureDefinition.dateValues for date differ: '2021-11-09' vs '2022-02-27T13:48:44+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)'
WarningObservation.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.categoryElement minimum cardinalities differ: '1' vs '0'
WarningObservation.codeElements differ in short: 'Clinical Test Name' vs 'Cause of death [US Standard Certificate of Death]'
WarningObservation.codeElements differ in definition: '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.' vs 'Describes what was observed. Sometimes this is called the observation 'name'.'
WarningObservation.codeElements differ in comments: '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.' vs '*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.'
WarningObservation.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.performerElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.performerElement minimum cardinalities differ: '0' vs '1'
InformationObservation.performerElement maximum cardinalities differ: '2147483647' vs '1'
WarningObservation.value[x]Elements differ in short: 'Result Value' vs 'Actual result'
InformationObservation.value[x]Element minimum cardinalities differ: '0' vs '1'
WarningObservation.value[x].textElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.value[x].textElement minimum cardinalities differ: '0' vs '1'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
InformationObservation.componentElement 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'
      .date2021-11-092022-02-27T13:48:44+00:00
      • Values Differ
      .descriptionDefines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve clinical test resultsThe Observation - Cause of Death Condition profile reflects one of the eventually ordered causes of death asserted by the death certifier. The cause of death is initially specified with text.
      • Values Differ
      .experimental
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreClinicalTestResultObservationProfileObservationCauseOfDeathCondition
                • 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 Clinical Test Result Observation ProfileObservation - Cause of Death Condition
                    • Values Differ
                    .typeObservation
                      .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-testhttp://hl7.org/fhir/us/mdi/StructureDefinition/Observation-cause-of-death-condition
                      • Values Differ
                      .version4.1.01.0.0-ballot
                      • 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..*ObservationMeasurements and simple assertions
                        ... 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)
                              Max Binding: AllLanguages: A human language.

                              0..1codeLanguage of the resource content
                              Binding: CommonLanguages (preferred)
                              Max Binding: AllLanguages: A human language.

                                ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                  ... contained 0..*ResourceContained, inline Resources
                                  0..*ResourceContained, inline Resources
                                    ... extension 0..*ExtensionAdditional content defined by implementations
                                    0..*ExtensionAdditional content defined by implementations
                                      ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                      ?!0..*ExtensionExtensions that cannot be ignored
                                        ... identifier Σ0..*IdentifierBusiness Identifier for 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): Codes providing the status of an observation.

                                              ?!Σ1..1coderegistered | preliminary | final | amended +
                                              Binding: ObservationStatus (required): Codes providing the status of an observation.

                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... Slices for category S1..*CodeableConceptClassification of type of observation
                                              Slice: Unordered, Open by pattern:$this
                                              Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


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


                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              • Element minimum cardinalities differ: '1' vs '0'
                                              ... code SΣ1..1CodeableConceptClinical Test Name
                                              Binding: US Core DiagnosticReport Report And Note Codes (extensible)
                                              SΣ1..1CodeableConceptCause of death [US Standard Certificate of Death]
                                              Binding: LOINCCodes (example): Codes identifying names of simple observations.


                                              Required Pattern: {"coding":[{"system":"http://loinc.org","code":"69453-9"}]}
                                              • Elements differ in short: 'Clinical Test Name' vs 'Cause of death [US Standard Certificate of Death]'
                                              • Elements differ in definition: '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.' vs 'Describes what was observed. Sometimes this is called the observation "name".'
                                              • Elements differ in comments: '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.' vs '*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.'
                                              ... 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 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 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
                                                      SΣ1..1Reference(US Core Practitioner Profile)Who is responsible for the observation
                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                      • Element minimum cardinalities differ: '0' vs '1'
                                                      • Element maximum cardinalities differ: '2147483647' vs '1'
                                                      ... value[x] SΣI0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
                                                      us-core-3: SHALL use UCUM for coded quantity units.
                                                      SΣI1..1CodeableConceptActual result
                                                      • Elements differ in short: 'Result Value' vs 'Actual result'
                                                      • Element minimum cardinalities differ: '0' vs '1'
                                                      .... 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
                                                          Σ0..*CodingCode defined by a terminology system
                                                            .... text Σ0..1stringPlain text representation of the conceptSΣ1..1stringPlain text representation of the concept
                                                            Max Length: 120
                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                            • Element minimum cardinalities differ: '0' vs '1'
                                                            ... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
                                                            Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                            ... 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
                                                                        obs-3: Must have at least a low or a high or text
                                                                        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
                                                                                            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
                                                                                                Σ1..*BackboneElementComponent results
                                                                                                Slice: Unordered, Open by value:code
                                                                                                • Element minimum cardinalities differ: '0' vs '1'
                                                                                                .... 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