Comparison of Vital Records Common Library (VRCL) FHIR Implementation Guide with US-Core

The following Profiles do not derive from US Core, and should be reviewed with the US Realm Committee:

• Observation - Education Level Vital Records
• Observation - Emerging Issues Vital Records
• Observation - Coded Race and Ethnicity Vital Records
• Observation - Input Race and Ethnicity Vital Records

US Realm	Current Build	Difference	Union	Intersection	Notes
ValueSets
Smoking Status Type	LOINC Codes	Comparison	Union	Intersection	2 Breaking Changes, 0 Changes, 13 Notes
Smoking Status Type	Coded Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 0 Changes, 10 Notes
Smoking Status Type	Value Set - Education Level Person Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 0 Changes, 11 Notes
Smoking Status Type	Value Set - Input Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 0 Changes, 10 Notes
Vital Sign Result Type	LOINC Codes	Comparison	Union	Intersection	23 Breaking Changes, 0 Changes, 10 Notes
Vital Sign Result Type	Coded Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	27 Breaking Changes, 0 Changes, 7 Notes
Vital Sign Result Type	Value Set - Education Level Person Vital Records	Comparison	Union	Intersection	26 Breaking Changes, 0 Changes, 8 Notes
Vital Sign Result Type	Value Set - Input Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	27 Breaking Changes, 0 Changes, 7 Notes
LOINC Codes	Coded Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	6 Breaking Changes, 0 Changes, 8 Notes
LOINC Codes	Value Set - Education Level Person Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 0 Changes, 8 Notes
LOINC Codes	Value Set - Input Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	6 Breaking Changes, 0 Changes, 8 Notes
Vital Signs Units	Value Set - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 0 Changes, 12 Notes
US Core Laboratory Test Codes	LOINC Codes	Comparison	Union	Intersection	3 Breaking Changes, 0 Changes, 8 Notes
US Core Laboratory Test Codes	Coded Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	7 Breaking Changes, 0 Changes, 6 Notes
US Core Laboratory Test Codes	Value Set - Education Level Person Vital Records	Comparison	Union	Intersection	6 Breaking Changes, 0 Changes, 5 Notes
US Core Laboratory Test Codes	Value Set - Input Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	7 Breaking Changes, 0 Changes, 6 Notes
US Core Status for Smoking Status Observation	ObservationStatus	Comparison	Union	Intersection	4 Breaking Changes, 0 Changes, 9 Notes
US Core Survey Codes	LOINC Codes	Comparison	Union	Intersection	3 Breaking Changes, 0 Changes, 9 Notes
US Core Survey Codes	Coded Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	7 Breaking Changes, 0 Changes, 7 Notes
US Core Survey Codes	Value Set - Education Level Person Vital Records	Comparison	Union	Intersection	6 Breaking Changes, 0 Changes, 6 Notes
US Core Survey Codes	Value Set - Input Race and Ethnicity Person Vital Records	Comparison	Union	Intersection	7 Breaking Changes, 0 Changes, 7 Notes
StructureDefinitions
US Core Pediatric Head Occipital Frontal Circumference Percentile Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Pediatric Head Occipital Frontal Circumference Percentile Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Pediatric Head Occipital Frontal Circumference Percentile Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Pediatric Head Occipital Frontal Circumference Percentile Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Pediatric BMI for Age Observation Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Pediatric BMI for Age Observation Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Pediatric BMI for Age Observation Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Pediatric BMI for Age Observation Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Pediatric Weight for Height Observation Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Pediatric Weight for Height Observation Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Pediatric Weight for Height Observation Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Pediatric Weight for Height Observation Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Average Blood Pressure Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 8 Changes, 18 Notes
US Core Average Blood Pressure Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 8 Changes, 12 Notes
US Core Average Blood Pressure Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 8 Changes, 11 Notes
US Core Average Blood Pressure Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 8 Changes, 11 Notes
US Core Blood Pressure Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 16 Notes
US Core Blood Pressure Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 12 Notes
US Core Blood Pressure Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 13 Notes
US Core Blood Pressure Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 13 Notes
US Core BMI Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core BMI Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core BMI Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core BMI Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Body Height Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Body Height Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Body Height Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Body Height Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Body Temperature Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Body Temperature Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Body Temperature Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Body Temperature Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Body Weight Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Body Weight Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Body Weight Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Body Weight Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Care Experience Preference Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 13 Notes
US Core Care Experience Preference Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 9 Notes
US Core Care Experience Preference Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 10 Notes
US Core Care Experience Preference Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 10 Notes
US Core Head Circumference Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Head Circumference Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Head Circumference Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Head Circumference Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Heart Rate Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Heart Rate Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Heart Rate Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Heart Rate Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Observation Clinical Result Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 8 Changes, 13 Notes
US Core Observation Clinical Result Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 8 Changes, 9 Notes
US Core Observation Clinical Result Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 8 Changes, 10 Notes
US Core Observation Clinical Result Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 8 Changes, 10 Notes
US Core Laboratory Result Observation Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 12 Changes, 22 Notes
US Core Laboratory Result Observation Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 12 Changes, 18 Notes
US Core Laboratory Result Observation Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 12 Changes, 19 Notes
US Core Laboratory Result Observation Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 12 Changes, 19 Notes
US Core Observation Occupation Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 5 Changes, 12 Notes
US Core Observation Occupation Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 5 Changes, 10 Notes
US Core Observation Occupation Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 5 Changes, 11 Notes
US Core Observation Occupation Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 5 Changes, 11 Notes
US Core Observation Pregnancy Intent Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 4 Changes, 13 Notes
US Core Observation Pregnancy Intent Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 4 Changes, 11 Notes
US Core Observation Pregnancy Intent Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 4 Changes, 12 Notes
US Core Observation Pregnancy Intent Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 4 Changes, 12 Notes
US Core Observation Pregnancy Status Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 4 Changes, 13 Notes
US Core Observation Pregnancy Status Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 4 Changes, 11 Notes
US Core Observation Pregnancy Status Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 4 Changes, 12 Notes
US Core Observation Pregnancy Status Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 4 Changes, 12 Notes
US Core Observation Screening Assessment Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 10 Changes, 13 Notes
US Core Observation Screening Assessment Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 10 Changes, 10 Notes
US Core Observation Screening Assessment Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 10 Changes, 10 Notes
US Core Observation Screening Assessment Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 10 Changes, 10 Notes
US Core Observation Sexual Orientation Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 4 Changes, 13 Notes
US Core Observation Sexual Orientation Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 4 Changes, 9 Notes
US Core Observation Sexual Orientation Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 4 Changes, 10 Notes
US Core Observation Sexual Orientation Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 4 Changes, 10 Notes
US Core Pulse Oximetry Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 19 Notes
US Core Pulse Oximetry Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 15 Notes
US Core Pulse Oximetry Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 16 Notes
US Core Pulse Oximetry Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 16 Notes
US Core Respiratory Rate Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Respiratory Rate Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Respiratory Rate Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Respiratory Rate Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Simple Observation Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 7 Changes, 13 Notes
US Core Simple Observation Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 7 Changes, 9 Notes
US Core Simple Observation Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 7 Changes, 10 Notes
US Core Simple Observation Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 7 Changes, 10 Notes
US Core Smoking Status Observation Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 14 Notes
US Core Smoking Status Observation Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 6 Changes, 12 Notes
US Core Smoking Status Observation Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 6 Changes, 13 Notes
US Core Smoking Status Observation Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	3 Breaking Changes, 6 Changes, 13 Notes
US Core Treatment Intervention Preference Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 13 Notes
US Core Treatment Intervention Preference Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 9 Notes
US Core Treatment Intervention Preference Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 10 Notes
US Core Treatment Intervention Preference Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	2 Breaking Changes, 6 Changes, 10 Notes
US Core Vital Signs Profile	Observation - Education Level Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 15 Notes
US Core Vital Signs Profile	Observation - Emerging Issues Vital Records	Comparison	Union	Intersection	5 Breaking Changes, 11 Changes, 11 Notes
US Core Vital Signs Profile	Observation - Coded Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes
US Core Vital Signs Profile	Observation - Input Race and Ethnicity Vital Records	Comparison	Union	Intersection	4 Breaking Changes, 11 Changes, 12 Notes