Profile Comparison between http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Condition-Contributing-To-Death vs http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Condition-Contributing-To-Death

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Condition
copyright
date	2019-03-27T07:24:20+11:00	2020-05-08	Values Differ
description		The Condition Contributing to Death profile is used to identify factors contributing to the cause of death as asserted by the death certifier. The Condition Contributing To Death profile builds upon the FHIR condition resource.	Added the item 'The Condition Contributing to Death profile is used to identify factors contributing to the cause of death as asserted by the death certifier. The Condition Contributing To Death profile builds upon the FHIR condition resource.'
experimental		false	Added the item 'false'
fhirVersion	3.0.1	4.0.1	Values Differ
jurisdiction
jurisdiction[0]		urn:iso:std:iso:3166#US	Added the item 'urn:iso:std:iso:3166#US'
kind	resource
name	VRDR Condition Contributing To Death	ConditionContributingToDeath	Values Differ
publisher	Hi3 Solutions	Health Level Seven International	Values Differ
purpose
status	draft
title		VRDR Condition Contributing To Death	Added the item 'VRDR Condition Contributing To Death'
type	Condition
url	http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Condition-Contributing-To-Death
version	0.1.0	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
Condition	I				I
id	Σ				Σ				Elements differ in definition: "MAY contain zero or one [0..1] id (CONF:4393-326)." "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."
meta	Σ				Σ				Elements differ in short: "meta" "Metadata about the resource" Elements differ in definition: "MAY contain zero or one [0..1] meta (CONF:4393-325)." "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."
id									Elements differ in short: "xml:id (or equivalent in JSON)" "Unique id for inter-element referencing"
extension			Extension				Extension		Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." "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."
versionId	Σ				Σ				Elements differ in definition: "The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted." "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted."
lastUpdated	Σ				Σ				Elements differ in comments: "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant." "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read] interaction."
profile	Σ				Σ				Elements differ in short: "profile" "Profiles this resource claims to conform to" Elements differ in definition: "The meta, if present, SHALL contain exactly one [1..1] profile="http://hl7.org/fhir/us/vrdr/StructureDefinition/VRDR-Condition-Contributing-To-Death"(CONF:4393-327)." "A list of profiles (references to [StructureDefinition] resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url]."
security	Σ				Σ				Elements differ in comments: "The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored."
tag	Σ				Σ				Elements differ in comments: "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." Elements differ in binding.description: "Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"" "Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"."
source					Σ				Added this element
implicitRules	?!Σ				?!Σ				Elements differ in definition: "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." Elements differ in comments: "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."
language									Elements differ in comments: "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
text									Elements differ in definition: "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." Elements differ in comments: "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later." "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."
contained									Elements differ in comments: "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again." "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
extension			Extension				Extension		Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the resource. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." "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."
modifierExtension	?!				?!				Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."
identifier	Σ				Σ				Elements differ in definition: "This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)." "Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server." Elements differ in requirements: "Need to allow connection to a wider workflow." "Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers."
clinicalStatus	?!ΣI				?!ΣI				Elements differ in short: "active | recurrence | inactive | remission | resolved" "active | recurrence | relapse | inactive | remission | resolved" Elements differ in comments: "This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern." "The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity."
verificationStatus	?!ΣI				?!ΣI				Elements differ in short: "provisional | differential | confirmed | refuted | entered-in-error | unknown" "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error" Elements differ in comments: "verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid." "verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity."
category
severity
code	Σ				Σ				Elements differ in definition: "SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Condition-code http://hl7.org/fhir/ValueSet/Condition-code DYNAMIC (CONF:4393-332)." "Identification of the condition, problem or diagnosis."
id									Elements differ in short: "xml:id (or equivalent in JSON)" "Unique id for inter-element referencing"
extension			Extension				Extension		Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." "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."
coding	Σ				Σ				Elements differ in short: "coding" "Code defined by a terminology system" Elements differ in definition: "This code MAY contain zero or more [0..*] coding (CONF:4393-333)." "A reference to a code defined by a terminology system." Elements differ in requirements: "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." "Allows for alternative encodings within a code system, and translations to other code systems."
id									Elements differ in short: "xml:id (or equivalent in JSON)" "Unique id for inter-element referencing"
extension			Extension				Extension		Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." "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."
system	Σ				Σ				Elements differ in comments: "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."
version	Σ				Σ				Elements differ in definition: "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."
code	Σ				Σ				Elements differ in short: "code" "Symbol in syntax defined by the system" Elements differ in definition: "The coding, if present, SHALL contain exactly one [1..1] code (ValueSet: Condition-code http://hl7.org/fhir/ValueSet/Condition-code DYNAMIC) (CONF:4393-334)." "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." Unable to resolve right value set https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.3593 at Condition.code.coding.code
display	Σ				Σ
userSelected	Σ				Σ				Elements differ in definition: "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."
text	Σ				Σ				Elements differ in short: "text" "Plain text representation of the concept" Elements differ in definition: "This code SHALL contain exactly one [1..1] text (CONF:4393-335)." "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."
bodySite	Σ				Σ				Elements differ in comments: "Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance]. May be a summary code, or a reference to a very precise definition of the location, or both." "Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite]. May be a summary code, or a reference to a very precise definition of the location, or both."
subject	Σ				Σ				Elements differ in short: "subject" "Who has the condition?" Elements differ in definition: "SHALL contain exactly one [1..1] subject="VRDR Decedent" (CONF:4393-336)." "Indicates the patient or group who the condition record is associated with."
context	Σ								Removed this element
onset[x]	Σ				Σ
abatement[x]	I				I				Elements differ in short: "If/when in resolution/remission" "When in resolution/remission"
assertedDate	Σ								Removed this element
asserter	Σ				Σ
stage	I				I
id									Elements differ in short: "xml:id (or equivalent in JSON)" "Unique id for inter-element referencing"
extension			Extension				Extension		Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." "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."
modifierExtension	?!Σ				?!Σ				Elements differ in short: "Extensions that cannot be ignored" "Extensions that cannot be ignored even if unrecognized" Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."
summary	I				I
assessment	I				I
type									Added this element
evidence	I				I				Elements differ in definition: "Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed." "Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition."
id									Elements differ in short: "xml:id (or equivalent in JSON)" "Unique id for inter-element referencing"
extension			Extension				Extension		Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." "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."
modifierExtension	?!Σ				?!Σ				Elements differ in short: "Extensions that cannot be ignored" "Extensions that cannot be ignored even if unrecognized" Elements differ in definition: "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."
code	ΣI				ΣI
detail	ΣI				ΣI
note
encounter					Σ				Added this element
recordedDate					Σ				Added this element
recorder					Σ				Added this element
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