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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs	http://hl7.org/fhir/StructureDefinition/Observation	Values Differ
copyright	Used 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'
date	2022-04-20	2023-05-30T15:01:17+00:00	Values Differ
description	To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch pulse oximetry and inspired oxygen observations with a standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.	The profile reuses the ODH PastOrPresentJob profile to apply it specifically to military jobs/occupations. The observation resource that conforms to this specification is referenced by Military Service Episode.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCorePulseOximetryProfile	MilitaryOccupation	Values Differ
publisher	HL7 International - Cross-Group Projects	Cross Group Projects WG	Values Differ
purpose
status	active
title	US Core Pulse Oximetry Profile	Military Occupation	Values Differ
type	Observation
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry	http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-Occupation	Values Differ
version	6.1.0-snapshot1	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Observation	C	0..*	USCoreVitalSignsProfile	US Core Pulse Oximetry Profile	C	0..*	Observation	Measurements and simple assertions	Elements differ in short: 'US Core Pulse Oximetry Profile' vs 'Measurements and simple assertions' 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	Σ	0..1	id	Logical id of this artifact	Σ	1..1	id	Logical id of this artifact	Element minimum cardinalities differ: '0' vs '1'
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order	Σ	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event	Σ	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
status	?!SΣ	1..1	code	(USCDI) registered | preliminary | final | amended + Binding: ?? (required)	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation.	Elements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +'
Slices for category	S	1..*	CodeableConcept	(USCDI) Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories.	S	0..*	CodeableConcept	Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories.	Elements differ in short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation' Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: {"system":"http://terminology.hl7.org/CodeSystem/observation-category","code":"social-history"}
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	(USCDI) Oxygen Saturation by Pulse Oximetry Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"11341-5","display":"History of Occupation"}]}	Elements differ in short: '(USCDI) Oxygen Saturation by Pulse Oximetry' vs 'Type of observation (code / type)' Elements differ in definition: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Describes what was observed. Sometimes this is called the observation "name".' Elements differ in comments: 'The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood).' vs '*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.' Elements differ in requirements: '5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).' vs 'Knowing what kind of observation is being made is essential to understanding the observation.' Elements differ in binding.description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'Codes identifying names of simple observations.'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	2..*	Coding	(USCDI) Code defined by a terminology system Slice: Unordered, Open by pattern:$this	Σ	0..*	Coding	Code defined by a terminology system	Elements differ in short: '(USCDI) Code defined by a terminology system' vs 'Code defined by a terminology system' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '2' vs '0'
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who and/or what the observation is about	SΣ	1..1	Reference(US Veteran)	Who and/or what the observation is about	Elements differ in short: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about'
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record	Σ	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made	Σ	0..0			Element maximum cardinalities differ: '1' vs '0'
effective[x]	SΣC	1..1	dateTime S, Period	(USCDI) Often just a dateTime for Vital Signs	Σ	1..1	Period	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this	Elements differ in short: '(USCDI) Often just a dateTime for Vital Signs' vs 'Clinically relevant time/time-period for observation' Elements differ in definition: 'Often just a dateTime for Vital Signs.' 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	Σ	0..1	instant	Date/Time this version was made available	Σ	0..0			Element maximum cardinalities differ: '1' vs '0'
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation	Σ	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
Slices for value[x]	SΣC	0..1	Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	(USCDI) Vital Signs Value Slice: Unordered, Open by type:$this Binding: ?? (extensible): Common UCUM units for recording Vital Signs.	ΣC	1..1	CodeableConcept	Actual result Slice: Unordered, Closed by type:$this	Elements differ in short: '(USCDI) Vital Signs Value' vs 'Actual result' Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'The information determined as a result of making the observation, if the information has a simple value.' Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
dataAbsentReason	SC	0..1	CodeableConcept	(USCDI) Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	C	0..0			Elements differ in short: '(USCDI) Why the result is missing' vs 'Why the result is missing' Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '1' vs '0'
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations.		0..0			Element maximum cardinalities differ: '2147483647' vs '0'
note		0..*	Annotation	Comments about the observation		0..1	Annotation	Comments about the observation	Element maximum cardinalities differ: '2147483647' vs '1'
bodySite		0..1	CodeableConcept	Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality.		0..0			Element maximum cardinalities differ: '1' vs '0'
method		0..1	CodeableConcept	How it was done Binding: ?? (example): Methods for simple observations.		0..0			Element maximum cardinalities differ: '1' vs '0'
specimen		0..1	Reference(Specimen)	Specimen used for this observation		0..0			Element maximum cardinalities differ: '1' vs '0'
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device		0..0			Element maximum cardinalities differ: '1' vs '0'
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation	C	0..*	BackboneElement	Provides guide for interpretation
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	??	Low Range, if relevant	C	0..1	??	Low Range, if relevant
high	C	0..1	??	High Range, if relevant	C	0..1	??	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range.		0..1	CodeableConcept	Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to.		0..*	CodeableConcept	Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group	Elements differ in short: 'Used when reporting vital signs panel components' vs 'Related resource that belongs to the Observation group' Elements differ in definition: 'Used when reporting vital signs panel components.' vs 'This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence], CanonicalType[http://hl7.org/fhir/StructureDefinition/vitalsigns]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]])
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from	Σ	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
Slices for component	SΣC	0..*	BackboneElement	(USCDI) Used when reporting flow rates or oxygen concentration. Slice: Unordered, Open by pattern:code	SΣ	0..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code	Elements differ in short: '(USCDI) Used when reporting flow rates or oxygen concentration.' vs 'Component results' Elements differ in definition: 'Used when reporting flow rates or oxygen concentration.' vs 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	(USCDI) Type of component observation (code / type) Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations.	Elements differ in short: '(USCDI) Type of component observation (code / type)' vs 'Type of component observation (code / type)' Elements differ in definition for mustSupport: 'true' vs 'false' Elements differ in binding.description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'Codes identifying names of simple observations.'
value[x]	SΣC	0..1	Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	(USCDI) Vital Sign Component Value Binding: ?? (extensible): Common UCUM units for recording Vital Signs.	Σ	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result	Elements differ in short: '(USCDI) Vital Sign Component Value' vs 'Actual component result' Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept.' vs 'The information determined as a result of making the observation, if the information has a simple value.' Elements differ in requirements: '9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305).' vs 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.' Elements differ in definition for mustSupport: 'true' vs 'false'
dataAbsentReason	SC	0..1	CodeableConcept	(USCDI) Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	C	0..1	CodeableConcept	Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	Elements differ in short: '(USCDI) Why the component result is missing' vs 'Why the component result is missing' Elements differ in definition for mustSupport: 'true' vs 'false'
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations.		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format