Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry vs http://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel

Left:US Core Pulse Oximetry Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry)
Right:Vital Signs Panel (http://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry' vs 'http://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel'
ErrorStructureDefinition.versionValues for version differ: '5.0.1' vs '1.0.0'
InformationStructureDefinition.nameValues for name differ: 'USCorePulseOximetryProfile' vs 'VitalSignsPanel'
InformationStructureDefinition.titleValues for title differ: 'US Core Pulse Oximetry Profile' vs 'Vital Signs Panel'
InformationStructureDefinition.dateValues for date differ: '2022-04-20' vs '2022-09-12T00:45:08+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Clinical Information Modeling Initiative'
InformationStructureDefinition.copyrightValues for copyright differ: 'Used by permission of HL7 International, all rights reserved Creative Commons License' vs 'Logica Health, all rights reserved Creative Commons License'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs' vs 'http://hl7.org/fhir/StructureDefinition/vitalspanel'
WarningObservationElements differ in short: 'US Core Pulse Oximetry Profile' vs 'FHIR Vital Signs Panel Profile'
WarningObservationElements differ in definition: '\-' vs 'This profile defines the top-level grouping structure for a set of vital signs. It has no value in Observation.valueQuantity ; instead, it just includes related links (with type=has-member) to the Observations in this set (e.g. respiratory rate, heart rate, BP).'
WarningObservationElements 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.'
WarningObservation.codeElements differ in short: 'Oxygen Saturation by Pulse Oximetry' vs 'Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel'
WarningObservation.codeElements differ in definition: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Vital Signs Panel.'
WarningObservation.codeElements 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 'additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.'
WarningObservation.codeElements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.'
WarningObservation.codeElements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.'
WarningObservation.code.codingElements differ in definition for mustSupport: 'true' vs 'false'
WarningObservation.value[x]Elements differ in short: 'Vital Signs Value' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.'
WarningObservation.value[x]Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.'
InformationObservation.value[x]Element maximum cardinalities differ: '1' vs '0'
InformationObservation.dataAbsentReasonElement maximum cardinalities differ: '1' vs '0'
InformationObservation.bodySiteElement maximum cardinalities differ: '1' vs '0'
InformationObservation.methodElement maximum cardinalities differ: '1' vs '0'
InformationObservation.specimenElement maximum cardinalities differ: '1' vs '0'
InformationObservation.deviceElement maximum cardinalities differ: '1' vs '0'
InformationObservation.referenceRangeElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.hasMemberElements differ in definition for mustSupport: 'false' vs 'true'
InformationObservation.hasMemberElement minimum cardinalities differ: '0' vs '1'
WarningObservation.componentElements differ in short: 'Used when reporting flow rates or oxygen concentration.' vs 'Used when reporting systolic and diastolic blood pressure.'
WarningObservation.componentElements differ in definition: 'Used when reporting flow rates or oxygen concentration.' vs 'Used when reporting systolic and diastolic blood pressure.'
InformationObservation.componentElement maximum cardinalities differ: '2147483647' vs '0'
WarningObservation.component.codeElements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.'
WarningObservation.component.codeElements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.'
WarningObservation.component.value[x]Elements differ in short: 'Vital Sign Component Value' vs 'Vital Sign Value recorded with UCUM'
WarningObservation.component.value[x]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 'Vital Sign Value recorded with UCUM.'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signshttp://hl7.org/fhir/StructureDefinition/vitalspanel
    • Values Differ
    .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons LicenseLogica Health, all rights reserved Creative Commons License
    • Values Differ
    .date2022-04-202022-09-12T00:45:08+00:00
    • Values Differ
    .descriptionTo 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 the *additional* mandatory core elements, extensions, vocabularies and value sets which **SHALL** be present in the Observation resource when using this profile. It provides the floor for standards development for specific uses cases.A vital signs panel as defined by Logica Health. It includes Oxygen Saturation via Pulse Oximetry, Oxygen Saturation in Arterial blood, body height, body length, body weight, body temperature, blood pressure panel, heart rate, respiratory rate, head-occcipital/frontal circumference, oxygen saturation via pulse oximetry, and body mass index.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
          .kindresource
            .nameUSCorePulseOximetryProfileVitalSignsPanel
            • Values Differ
            .publisherHL7 International - Cross-Group ProjectsHL7 International - Clinical Information Modeling Initiative
            • Values Differ
            .purpose
              .statusactive
                .titleUS Core Pulse Oximetry ProfileVital Signs Panel
                • Values Differ
                .typeObservation
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetryhttp://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel
                  • Values Differ
                  .version5.0.11.0.0
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                  .. Observation C0..*USCoreVitalSignsProfileUS Core Pulse Oximetry Profile
                  C0..*observation-vitalspanelFHIR Vital Signs Panel Profile
                  • Elements differ in short: 'US Core Pulse Oximetry Profile' vs 'FHIR Vital Signs Panel Profile'
                  • Elements differ in definition: '\-' vs 'This profile defines the top-level grouping structure for a set of vital signs. It has no value in Observation.valueQuantity ; instead, it just includes related links (with type=has-member) to the Observations in this set (e.g. respiratory rate, heart rate, BP).'
                  • 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 Σ0..1stringLogical id of this artifactΣ0..1idLogical 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): A human language.

                        Additional BindingsPurpose
                        AllLanguagesMax Binding
                        0..1codeLanguage of the resource content
                        Binding: CommonLanguages (preferred): A human language.

                        Additional BindingsPurpose
                        AllLanguagesMax Binding
                          ... 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..*ExtensionAdditional content defined by implementations
                                ... 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)
                                          ... Slices for category S1..*CodeableConceptClassification of type of observation
                                          Slice: Unordered, Open by value:coding.code, value:coding.system
                                          Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                          S1..*CodeableConceptClassification of type of observation
                                          Slice: Unordered, Open by value:coding.code, value:coding.system
                                          Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


                                            ... code SΣ1..1CodeableConceptOxygen Saturation by Pulse Oximetry
                                            Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

                                            SΣ1..1CodeableConceptVital signs, weight, height, head circumference, oxygen saturation, and BMI panel
                                            Binding: VitalSigns (extensible): This identifies the vital sign result type.


                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"85353-1"}]}
                                            • Elements differ in short: 'Oxygen Saturation by Pulse Oximetry' vs 'Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel'
                                            • Elements differ in definition: 'Coded Responses from C-CDA Vital Sign Results.' vs 'Vital Signs Panel.'
                                            • 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 'additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.'
                                            • Elements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.'
                                            • Elements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.'
                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                              0..*ExtensionAdditional content defined by implementations
                                              Slice: Unordered, Open by value:url
                                                .... Slices for coding SΣ0..*CodingCode defined by a terminology system
                                                Slice: Unordered, Open by pattern:$this
                                                Σ0..*CodingCode defined by a terminology system
                                                Slice: Unordered, Open by value:code, value:system
                                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                .... text Σ0..1stringPlain text representation of the conceptΣ0..1stringPlain text representation of the concept
                                                  ... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is aboutSΣ1..1Reference(US Core Patient Profile)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 madeΣ0..1Reference(Encounter)Healthcare event during which this observation is made
                                                        ... effective[x] SΣC1..1dateTime S, PeriodOften just a dateTime for Vital SignsSΣC1..1dateTime, PeriodOften just a dateTime for Vital Signs
                                                          ... issued Σ0..1instantDate/Time this version was made availableΣ0..1instantDate/Time this version was made available
                                                            ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                            Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
                                                              ... value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Signs Value
                                                              Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.

                                                              SΣC0..0
                                                              • Elements differ in short: 'Vital Signs Value' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.'
                                                              • Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.'
                                                              • Element maximum cardinalities differ: '1' vs '0'
                                                              ... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
                                                              Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                              SC0..0
                                                              • Element maximum cardinalities differ: '1' vs '0'
                                                              ... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                              Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                              0..*CodeableConceptHigh, low, normal, etc.
                                                              Binding: Defined Limits value set (extensible)
                                                                ... 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.

                                                                  0..0
                                                                  • Element maximum cardinalities differ: '1' vs '0'
                                                                  ... method 0..1CodeableConceptHow it was done
                                                                  Binding: ObservationMethods (example): Methods for simple observations.

                                                                  0..0
                                                                  • Element maximum cardinalities differ: '1' vs '0'
                                                                  ... specimen 0..1Reference(Specimen)Specimen used for this observation0..0
                                                                  • Element maximum cardinalities differ: '1' vs '0'
                                                                  ... device 0..1Reference(Device | DeviceMetric)(Measurement) Device0..0
                                                                  • Element maximum cardinalities differ: '1' vs '0'
                                                                  ... referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                  C0..0
                                                                  • Element maximum cardinalities differ: '2147483647' vs '0'
                                                                  .... 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 C0..1SimpleQuantityLow Range, if relevantC0..1SimpleQuantityLow Range, if relevant
                                                                          .... high C0..1SimpleQuantityHigh Range, if relevantC0..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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                    SΣ1..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
                                                                                    Slice: Unordered, Closed by profile:resolve()
                                                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                    • Element minimum cardinalities differ: '0' vs '1'
                                                                                    ... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                                    Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
                                                                                      ... Slices for component SΣC0..*BackboneElementUsed when reporting flow rates or oxygen concentration.
                                                                                      Slice: Unordered, Open by pattern:code
                                                                                      SΣC0..0
                                                                                      • Elements differ in short: 'Used when reporting flow rates or oxygen concentration.' vs 'Used when reporting systolic and diastolic blood pressure.'
                                                                                      • Elements differ in definition: 'Used when reporting flow rates or oxygen concentration.' vs 'Used when reporting systolic and diastolic blood pressure.'
                                                                                      • Element maximum cardinalities differ: '2147483647' vs '0'
                                                                                      .... 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 SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                            Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.

                                                                                            SΣ1..1CodeableConceptType of component observation (code / type)
                                                                                            Binding: VitalSigns (extensible): This identifies the vital sign result type.

                                                                                            • Elements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.'
                                                                                            • Elements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.'
                                                                                            .... value[x] SΣC0..1Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Component Value
                                                                                            Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.

                                                                                            SΣC0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodVital Sign Value recorded with UCUM
                                                                                            Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

                                                                                            • Elements differ in short: 'Vital Sign Component Value' vs 'Vital Sign Value recorded with UCUM'
                                                                                            • 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 'Vital Sign Value recorded with UCUM.'
                                                                                            .... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
                                                                                            Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                            SC0..1CodeableConceptWhy the component result is missing
                                                                                            Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

                                                                                              .... interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                              Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


                                                                                              0..*CodeableConceptHigh, low, normal, etc.
                                                                                              Binding: ObservationInterpretationCodes (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

                                                                                                  doco Documentation for this format