us-core-observation-clinical-result vs SDOHCC-ObservationPersonalPronouns

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

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..*

Additional content defined by implementations

0..*

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..*

Extensions that cannot be ignored

0..*

Extensions that cannot be ignored

identifier

0..*

Identifier

Business Identifier for observation

0..*

Identifier

Business Identifier for observation

basedOn

0..*

Fulfills plan, proposal or order

0..*

Fulfills plan, proposal or order

partOf

0..*

Part of referenced event

0..*

Part of referenced event

status

?!SΣ

1..1

registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

?!SΣ

1..1

final | corrected | entered-in-error | unknown
Binding: SDOHCC ValueSet Observation Status (required)

Elements differ in short: '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

1..*

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

1..*

Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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

code

SΣ

1..1

Clinical Test or Procedure Name
Binding: LOINCCodes (extensible)

SΣ

1..1

Reference(US Core Patient Profile)

Type of observation (code / type)
Binding: LOINCCodes (preferred)
Required Pattern: {"coding":[{"system":"http://loinc.org","code":"90778-2"}]}

Elements differ in short: 'Clinical Test or Procedure Name' vs 'Type of observation (code / type)'
Elements differ in definition: 'The name of the clinical test or procedure 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. 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

Who and/or what the observation is about

SΣC

0..1

Reference(US Core Patient Profile)

Who and/or what the observation is about

Element minimum cardinalities differ: '1' vs '0'

focus

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

0..1

Reference(Encounter)

Healthcare event during which this observation is made

0..1

Reference(Encounter)

Healthcare event during which this observation is made

effective[x]

SΣC

0..1

dateTime S, Period, Timing, instant

Clinically relevant time/time-period for observation
us-core-1: Datetime must be at least to day.

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

issued

0..1

instant

Date/Time this version was made available

0..1

instant

Date/Time this version was made available

performer

0..*

Who is responsible for the observation

SΣC

0..*

Who is responsible for the observation

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

value[x]

SΣC

0..1

Quantity S, CodeableConcept S, string S, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period

Result Value
us-core-3: SHALL use UCUM for coded quantity units.

SΣC

1..1

Actual result
Binding: SDOHCC ValueSet Pronouns Value (preferred): Codes for personal pronouns

Elements differ in short: 'Result Value' vs 'Actual result'
Elements differ in definition: 'The clinical test or procedure result value. 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.'
Elements differ in requirements: 'An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.' 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. This is a value set is for testing purposes only and will ultimately need to be aligned with vetted value sets being developed by the Gender Harmony Project. See https://build.fhir.org/ig/HL7/fhir-gender-harmony/branches/main/terminology.html#appendix-1--proposed-value-sets'
Element minimum cardinalities differ: '0' vs '1'

0..1

Unique id for inter-element referencing

0..1

Unique id for inter-element referencing

Slices for extension

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

0..*

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 element. 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'

coding

0..*

Coding

Code defined by a terminology system

SΣ

0..*

Coding

Code defined by a terminology system

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

text

0..1

Plain text representation of the concept

0..1

Plain text representation of the concept

dataAbsentReason

0..1

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

0..0

Elements differ in definition for mustSupport: 'true' vs 'false'
Element maximum cardinalities differ: '1' vs '0'

interpretation

0..*

High, low, normal, etc.
Binding: ObservationInterpretationCodes (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

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

0..0

Element maximum cardinalities differ: '1' vs '0'

method

0..1

How it was done
Binding: ObservationMethods (example): Methods for simple observations.

1..1

How it was done
Binding: SDOHCC ValueSet Observation Method (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

0..*

BackboneElement

Provides guide for interpretation

0..0

Element maximum cardinalities differ: '2147483647' vs '0'

0..1

Unique id for inter-element referencing

0..1

Unique id for inter-element referencing

extension

0..*

Additional content defined by implementations

0..*

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

low

0..1

Low Range, if relevant

0..1

Low Range, if relevant

high

0..1

High Range, if relevant

0..1

High Range, if relevant

type

0..1

Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

0..1

Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

appliesTo

0..*

Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.

0..*

Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (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