us-core-observation-screening-assessments vs SDOHCC-ObservationGenderIdentity

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 requirements: 'To identify that observation is derived from a questionnaire.' vs 'Used for filtering what observations are retrieved and displayed.'
Elements differ in definition for mustSupport: 'true' vs 'false'

code

SΣ

1..1

Type of observation (code / type)
Binding: US Core Survey Codes (preferred)

SΣ

1..1

Reference(US Core Patient Profile)

Type of observation (code / type)
Binding: LOINCCodes (preferred)
Required Pattern: {"coding":[{"system":"http://loinc.org","code":"76691-5"}]}

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).'
Example/preferred bindings differ at Observation.code using binding from USCoreObservationScreeningAssessmentsProfile

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 definition: '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".' 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 comments: 'At least a date should be present unless this observation is a historical report.' 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

SΣ

0..*

Who is responsible for the observation

SΣC

0..*

Who is responsible for the observation

value[x]

SΣC

0..1

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

Actual result

SΣC

1..1

Actual result
Binding: Gender Identity (preferred): Codes for self-identified gender, plus unknown and other

Elements differ in comments: 'An observation may have a value if it represents an individual survey, screening, or assessment question and answer pair. An observation should not have a value if it represents a multi-question or multi-select “check all that apply” responses. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.' vs 'An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section] below.'
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 where terms like “male-to-female transsexual” and “female-to-male transsexual” will not be included. 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 comments: '"Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.' vs 'Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.'
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

Text based reference range in an observation

0..1