Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab vs http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation

Left:US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)
Right:QICoreObservation (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' vs 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation'
ErrorStructureDefinition.versionValues for version differ: '4.1.0' vs '4.1.1'
InformationStructureDefinition.nameValues for name differ: 'USCoreLaboratoryResultObservationProfile' vs 'QICoreObservation'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2020-06-27' vs '2018-08-22'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'http://www.hl7.org/Special/committees/cqi/index.cfm'
WarningObservationElements differ in definition: 'This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
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.codeElements differ in short: 'Laboratory Test Name' vs 'Type of observation (code / type)'
WarningObservation.codeElements differ in definition: 'The test that was performed. 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.codeElements differ in binding.description: 'LOINC codes' vs 'This value set specifies the type of observation'
WarningObservation.encounterElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.effective[x]Elements differ in definition: 'For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.' 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.issuedElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.value[x]Elements differ in short: 'Result Value' vs 'Actual result'
WarningObservation.value[x]Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
WarningObservation.dataAbsentReasonElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.interpretationElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.bodySiteElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.methodElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.specimenElements differ in definition for mustSupport: 'false' vs 'true'
ErrorObservation.derivedFromType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse]])
WarningObservation.componentElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.component.codeElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.component.value[x]Elements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.component.dataAbsentReasonElements differ in definition for mustSupport: 'false' vs 'true'
WarningObservation.component.interpretationElements differ in definition for mustSupport: 'false' vs 'true'

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'
      .date2020-06-272018-08-22
      • Values Differ
      .descriptionDefines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve laboratory test resultsProfile of Observation for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
      • Values Differ
      .experimentalfalse
        .fhirVersion4.0.1
          .jurisdiction
            ..jurisdiction[0]urn:iso:std:iso:3166#US
              .kindresource
                .nameUSCoreLaboratoryResultObservationProfileQICoreObservation
                • Values Differ
                .publisherHL7 International - Cross-Group Projectshttp://www.hl7.org/Special/committees/cqi/index.cfm
                • Values Differ
                .purpose
                  .statusactivedraft
                  • Values Differ
                  .titleUS Core Laboratory Result Observation Profile
                  • Removed the item 'US Core Laboratory Result Observation Profile'
                  .typeObservation
                    .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-labhttp://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation
                    • Values Differ
                    .version4.1.04.1.1
                    • 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
                    • Elements differ in definition: 'This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' vs 'Measurements and simple assertions made about a patient, device or other subject.'
                    ... 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..*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.

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


                                          S1..*CodeableConceptClassification of type of observation
                                          Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                            ... code SΣ1..1CodeableConceptLaboratory Test Name
                                            Binding: LOINCCodes (extensible): LOINC codes

                                            SΣ1..1CodeableConceptType of observation (code / type)
                                            Binding: LOINCCodes (preferred): This value set specifies the type of observation

                                            • Elements differ in short: 'Laboratory Test Name' vs 'Type of observation (code / type)'
                                            • Elements differ in definition: 'The test that was performed. 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.'
                                            • Elements differ in binding.description: 'LOINC codes' vs 'This value set specifies the type of observation'
                                            ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(QICorePatient | QICoreDevice | QICoreLocation)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 madeSΣ0..1Reference(QICoreEncounter)Healthcare event during which this observation is made
                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                ... effective[x] SΣI0..1dateTime S, Period, Timing, instantClinically relevant time/time-period for observation
                                                us-core-1: Datetime must be at least to day.
                                                SΣ0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
                                                • Elements differ in definition: 'For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.' 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 availableSΣ0..1instantDate/Time this version was made available
                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                Σ0..*Reference(QICorePractitioner | QICoreOrganization | QICorePatient | QICoreRelatedPerson)Who is responsible for the observation
                                                  ... value[x] SΣI0..1Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
                                                  us-core-4: SHOULD use Snomed CT for coded Results
                                                  us-core-3: SHALL use UCUM for coded quantity units.
                                                  SΣI0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result
                                                  Binding: US Core Observation Value Codes (SNOMED-CT) (preferred): SNOMED CT for coded results

                                                  • Elements differ in short: 'Result Value' vs 'Actual result'
                                                  • Elements differ in definition: 'The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT] if the concept exists. If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM]. A FHIR [UCUM Codes value set] that defines all UCUM codes is in the FHIR specification.' vs 'The information determined as a result of making the observation, if the information has a simple value.'
                                                  ... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
                                                  Binding: DataAbsentReason (extensible)
                                                  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.


                                                  S0..*CodeableConceptHigh, low, normal, etc.
                                                  Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                  ... 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.

                                                    S0..1CodeableConceptObserved body part
                                                    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                    ... method 0..1CodeableConceptHow it was done
                                                    Binding: ObservationMethods (example): Methods for simple observations.

                                                    S0..1CodeableConceptHow it was done
                                                    Binding: ObservationMethods (example): Methods for simple observations.

                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                    ... specimen 0..1Reference(Specimen)Specimen used for this observationS0..1Reference(QICoreSpecimen)Specimen used for this observation
                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                    ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..1Reference(QICoreDevice | 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(QICoreObservation | QuestionnaireResponse)Related measurements the observation is made from
                                                                            • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy], CanonicalType[http://hl7.org/fhir/StructureDefinition/Media], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MolecularSequence]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse]])
                                                                            ... component Σ0..*BackboneElementComponent results
                                                                            SΣ0..*BackboneElementComponent results
                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                            .... 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.

                                                                                  SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                  Binding: LOINCCodes (example): Codes identifying names of simple observations.

                                                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                  .... value[x] Σ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component resultSΣ0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                  .... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
                                                                                  Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                  SI0..1CodeableConceptWhy the component 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.


                                                                                  S0..*CodeableConceptHigh, low, normal, etc.
                                                                                  Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                  .... 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