Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation vs http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationEthnicityOMB

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Observation	http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationPersonalCharacteristic	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	2022-08-24	2023-07-27T20:42:33+00:00	Values Differ
description	The US Core Occupation Observation Profile is based upon the core FHIR Observation Resource and implements the US Core Data for Interoperability (USCDI) Occupation and Occupation Industry requirements. This profile promotes interoperability and adoption through common implementation by setting minimum expectations for the Observation resource to record, search, and fetch a patient's past or present job and "type of business that compensates for work or assigns work to an unpaid worker or volunteer". In the context of this profile, a job is defined as a work situation, training position, or volunteer position held for a specified period. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.	Profile for ethnicity observations that use Office of Management and Budget (OMB) ethnicity category codes and CDC ethnicity codes. This profile is intended for draft use only. For further details on this profile see [Draft Specifications for Personal Characteristics](draft_specifications_for_personal_characteristics.html).	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreObservationOccupationProfile	SDOHCCObservationEthnicityOMB	Values Differ
publisher	HL7 International - Cross-Group Projects	HL7 International Patient Care WG	Values Differ
purpose
status	active	draft	Values Differ
title	US Core Observation Occupation Profile	SDOHCC Observation Ethnicity OMB	Values Differ
type	Observation
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation	http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationEthnicityOMB	Values Differ
version	6.1.0	2.1.0	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..*	Observation	Past Or Present Occupation	C	0..*	SDOHCCObservationPersonalCharacteristic	Ethnicity observation SDOH-Ethnicity-1: Must have either a dataAbsentReason or at least one of the defined ethnicity components but not both	Elements differ in short: 'Past Or Present Occupation' vs 'Ethnicity observation' Elements differ in definition: 'Related data elements for a current or previous job.' vs 'For ethnicity observations that use Office of Management and Budget (OMB) ethnicity category codes and CDC ethnicity codes.' Elements differ in comments: 'A person can have more than one job at the same time and multiple jobs over time' vs 'Used for observations about the ethnicity of an individual.'
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
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	Extension 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..*	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..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	(USCDI) registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation.	?!SΣ	1..1	code	final | corrected | entered-in-error | unknown Binding: ?? (required)	Elements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'final | corrected | entered-in-error | unknown' Elements differ in definition: 'The status of the result value.' vs 'The status of the observation value.' Elements differ in requirements: 'Need to track the status of individual results. Some results are finalized before the whole report is finalized.' vs 'Further constrained to values that are relevant for personal characteristic observations.'
Slices for category	S	0..*	CodeableConcept	(USCDI) Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ?? (preferred): Codes for high level observation categories.		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:$this Binding: ?? (preferred): Codes for high level observation categories.	Elements differ in short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
code	SΣ	1..1	CodeableConcept	(USCDI) Occupation history Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"11341-5"}]}	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: ?? (preferred): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"69490-1"}]}	Elements differ in short: '(USCDI) Occupation history' vs 'Type of observation (code / type)' 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 '*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. NOTE: In LOINC, System Patient is used in the modeling of codes referenced by the Personal Characteristics profiles (e.g., 72826-1 Race OMB.1997, 69490-1 Ethnicity OMB.1997, 76691-5 Gender identity, 76690-7 Sexual orientation, 90778-2 Personal pronouns – Reported, and 99502-7 Recorded sex or gender). If the draft profiles are adopted, new LOINC codes without System Patient would be needed since these profiles can also be used to capture characteristics of a provider (using an extension) or a related person (using focus).'
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who and/or what the observation is about	SΣC	0..1	Reference(US Core Patient Profile)	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' Element minimum cardinalities differ: '1' vs '0'
focus	ΣTU	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record	ΣC	0..1	Reference(RelatedPerson)	What the observation is about, when it is not about the subject of record	Element maximum cardinalities differ: '2147483647' vs '1'
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	Σ	0..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this	Σ	0..1	dateTime, Period	Clinically relevant time/time-period for observation	Elements differ in comments: 'At least a date should be present unless this observation is a historical report. For recording imprecise or "fuzzy" times (For example, a blood glucose measurement taken "after breakfast") use the [Timing] datatype which allow the measurement to be tied to regular life events.' vs 'At least a date should be present unless this observation is a historical report. For recording imprecise or "fuzzy" times (For example, a blood glucose measurement taken "after breakfast") use the [Timing] datatype which allow the measurement to be tied to regular life events. NOTE: dateTime is Must Support, but currently tooling does not support this.'
issued	Σ	0..1	instant	Date/Time this version was made available	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation	SΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation	Elements differ in definition for mustSupport: 'false' vs 'true'
Slices for value[x]	ΣC	1..1	CodeableConcept	Actual result Slice: Unordered, Closed by type:$this	SΣC	0..0			Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '1' vs '0' Element maximum cardinalities differ: '1' vs '0' Element minimum cardinalities conflict: '1..1' vs '0..0': No instances can be valid against both profiles
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.	C	0..1	CodeableConcept	Why the result is missing Binding: ?? (required)
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..*	Annotation	Comments about the observation
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.	S	1..1	CodeableConcept	How it was done Binding: ?? (extensible): Methods for personal characteristic observations.	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1' Elements differ in binding.description: 'Methods for simple observations.' vs 'Methods for personal characteristic observations.'
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..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation	C	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
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(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from	SΣC	0..*	Reference(DocumentReference | QuestionnaireResponse | Observation)	Related measurements the observation is made from	Elements differ in definition for mustSupport: 'false' vs 'true'
Slices for component	SΣ	0..*	BackboneElement	(USCDI) Component results Slice: Unordered, Open by pattern:code	ΣC	0..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code, type:value, value:value	Elements differ in short: '(USCDI) Component results' vs 'Component results' Elements differ in definition: '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.' vs 'Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes.' Elements differ in comments: 'For a discussion on the ways Observations can be assembled in groups together see [Notes] below.' vs 'For a discussion on the ways Observations can be assembled in groups together see [Notes] below. NOTE: The same LOINC code is used for all three components of this draft profile. If the profile is adopted as part of the US Core standard, new LOINC codes (possibly a panel) will be needed to represent the components (e.g., a new LOINC code for detailed ethnicity and for text description of ethnicity).' Elements differ in requirements: 'Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.' vs 'Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).' Elements differ in definition for mustSupport: 'true' vs 'false'
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations.	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations.
value[x]	Σ	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result	Σ	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	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.
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