| Left: | US Core Treatment Intervention Preference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference) |
| Right: | Decedent Usual Work (http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference' vs 'http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work' |
| Error | StructureDefinition.version | Values for version differ: '7.0.0' vs '3.0.0' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreTreatmentInterventionPreferenceProfile' vs 'DecedentUsualWork' |
| Information | StructureDefinition.title | Values for title differ: 'US Core Treatment Intervention Preference Profile' vs 'Decedent Usual Work' |
| Information | StructureDefinition.date | Values for date differ: '2023-11-02' vs '2024-10-16T18:41:34+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Public Health' |
| Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Observation' vs 'http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork' |
| Information | StructureDefinition.short | Values for short differ: 'US Core Treatment Intervention Preference Profile' vs 'Usual Work' |
| Information | StructureDefinition.definition | Values for definition differ: 'Measurements and simple assertions made about a patient, device or other subject.' vs 'Related data elements about the work a person reports having performed for the longest amount of time during his or her life, regardless of the person’s current job and regardless of whether or not the person performed this work for a continuous time. Knowledge of person’s Usual Work can potentially assist in diagnosis, treatment and/or prevention of chronic condition(s) or conditions with a long latency. The potential for exposure to Occupational Hazard(s) related to an Occupation and/or an Industry can change over time, and a person could have been in and out of their Usual Work over time, so additional data are helpful to fully evaluate the possible impact of the person’s Usual Work on their health and guide appropriate use of screening tests to detect early disease. Example: a person has worked for a total of 30 years as a building carpenter (Occupation), but in various industries, mostly hotel construction. Her Usual Occupation is ‘building carpenter’ and her Usual Industry is ‘hotel construction.’ Usual Work does not include work that was unpaid or voluntary.' |
| Information | StructureDefinition.short | Values for short differ: 'Fulfills plan, proposal or order' vs 'The plan, proposal or order that is fulfilled in whole or in part by this observation' |
| Information | StructureDefinition.definition | Values for definition differ: 'A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.' vs 'The plan, proposal or order that is fulfilled in whole or in part by this observation.' |
| Error | Observation.basedOn | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]]) |
| Information | StructureDefinition.short | Values for short differ: 'Part of referenced event' vs 'The larger procedure that this particular observation is a component or step' |
| Information | StructureDefinition.definition | Values for definition differ: 'A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.' vs 'The larger procedure that this particular observation is a component or step.' |
| Error | Observation.partOf | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationAdministration], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationDispense], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationStatement], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Immunization], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImagingStudy]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure]]) |
| Warning | Observation.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | Observation.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | Observation.category | Element maximum cardinalities differ: '2147483647' vs '1' |
| Information | StructureDefinition.short | Values for short differ: 'Treatment intervention preferences code' vs 'Type of observation (code / type)' |
| Warning | Observation.code | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: 'Who and/or what the observation is about' vs 'The subject of an observation' |
| Information | StructureDefinition.definition | Values for definition differ: 'The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.' vs 'The subject of an observation.' |
| Warning | Observation.subject | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.definition | Values for definition differ: '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.' |
| Information | StructureDefinition.comment | Values for comment differ: '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](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.' |
| Warning | Observation.effective[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | Observation.value[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: 'Why the result is missing' vs 'The reason that there is no value available for the Occupation.' |
| Information | StructureDefinition.definition | Values for definition differ: 'Provides a reason why the expected value in the element Observation.value[x] is missing.' vs 'The reason that there is no value available for the Occupation.' |
| Information | Observation.interpretation | Element maximum cardinalities differ: '2147483647' vs '0' |
| Information | Observation.bodySite | Element maximum cardinalities differ: '1' vs '0' |
| Information | Observation.method | Element maximum cardinalities differ: '1' vs '0' |
| Information | Observation.specimen | Element maximum cardinalities differ: '1' vs '0' |
| Information | Observation.device | Element maximum cardinalities differ: '1' vs '0' |
| Information | Observation.referenceRange | Element maximum cardinalities differ: '2147483647' vs '0' |
| Information | StructureDefinition.comment | Values for comment differ: 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.' vs 'When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.' |
| Information | Observation.hasMember | Element maximum cardinalities differ: '2147483647' vs '0' |
| Information | Observation.component | Element minimum cardinalities differ: '0' vs '1' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Observation | http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork |
|
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2023-11-02 | 2024-10-16T18:41:34+00:00 |
|
| description | The US Core Treatment Intervention Preference Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile provides guidance on how to record a treatment intervention preference expressed by the patient regarding their personal health goals, preferences, and priorities for medical treatments or interventions in the event of a future health scenario where a person is unable to make medical decisions because of a severe illness or injury. This profile does not represent an actual order, but it can guide caregivers and medical personnel about what is important for the person. This profile sets minimum expectations for the Observation resource to record, search, and fetch for patient treatment intervention preferences. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | Used to send text-string industry and occupation information from Jurisdictions to NCHS, and coded versions from NCHS to Jurisdictions. |
|
| experimental | false |
| |
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreTreatmentInterventionPreferenceProfile | DecedentUsualWork |
|
| publisher | HL7 International / Cross-Group Projects | HL7 International / Public Health |
|
| purpose | |||
| status | active | ||
| title | US Core Treatment Intervention Preference Profile | Decedent Usual Work |
|
| type | Observation | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-treatment-intervention-preference | http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work |
|
| version | 7.0.0 | 3.0.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Observation | C | 0..* | Observation | US Core Treatment Intervention Preference Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | C | 0..* | UsualWork | Usual Work obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | |||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| 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..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation | |||||||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | Σ | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation |
| ||||||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step |
| ||||||||
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required): Codes providing the status of an observation. |
| ||||||||
 Slices for category | S | 0..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ?? (preferred): Codes for high level observation categories. | 0..1 | CodeableConcept | Classification of type of observation Binding: ?? (preferred): Codes for high level observation categories. |
| |||||||||
 id | 0..1 | string | Unique id for inter-element referencing |
| |||||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||||||
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
| ||||||||||||
| text | Σ | 0..1 | string | Plain text representation of the concept |
| ||||||||||||
| code | SΣ | 1..1 | CodeableConcept | Treatment intervention preferences code Binding: ?? (example): Codes identifying names of simple observations. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"75773-2"}]} | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. |
| ||||||||
| id | 0..1 | string | Unique id for inter-element referencing |
| |||||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||||||
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
| ||||||||||||
| text | Σ | 0..1 | string | Plain text representation of the concept |
| ||||||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | Σ | 1..1 | Reference(Patient - Vital Records) | The subject of an observation |
| ||||||||
| focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | Σ | 0..* | Reference(RelatedPerson) | What the observation is about, when it is not about the subject of record | |||||||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| effective[x] | SΣ | 0..1 | dateTime S, Period, Timing, instant | Clinically relevant time/time-period for observation | Σ | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this |
| ||||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | Σ | 0..1 | instant | Date/Time this version was made available | |||||||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | Σ | 0..* | Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) | Who is responsible for the observation | |||||||||
| value[x] | SΣC | 0..1 | string S, CodeableConcept S, Quantity, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result | ΣC | 0..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this |
| ||||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | The reason that there is no value available for the Occupation. Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. | 0..0 |
| ||||||||||||
| note | 0..* | Annotation | Comments about the observation | 0..* | Annotation | Comments about the observation | |||||||||||
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. | 0..0 |
| ||||||||||||
| method | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. | 0..0 |
| ||||||||||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | 0..0 |
| ||||||||||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | 0..0 |
| ||||||||||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | C | 0..0 |
| ||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant | |||||||||
| high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant | |||||||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (extensible): Code for the meaning of a reference range. | |||||||||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. | 0..* | CodeableConcept | Reference range population Binding: ?? (extensible): 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 | string | Text based reference range in an observation | 0..1 | string | Text based reference range in an observation | |||||||||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | Σ | 0..0 |
| ||||||||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from | |||||||||
 component | Σ | 0..* | BackboneElement | Component results | Σ | 1..* | BackboneElement | Component results Slice: Unordered, Open by value:code |
| ||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (example): Codes identifying names of simple observations. | |||||||||
| value[x] | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | Σ | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result | |||||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | C | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | |||||||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (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 | |||||||||||
| Documentation for this format | |||||||||||||||||